Provider Demographics
NPI:1043205271
Name:KURZ, DARYL EDWARD (MD)
Entity Type:Individual
Prefix:
First Name:DARYL
Middle Name:EDWARD
Last Name:KURZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1951 EVELYN BYRD AVE
Mailing Address - Street 2:SUITE I
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22801-3483
Mailing Address - Country:US
Mailing Address - Phone:540-437-5879
Mailing Address - Fax:
Practice Address - Street 1:1951 EVELYN BYRD AVE
Practice Address - Street 2:SUITE I
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801-3483
Practice Address - Country:US
Practice Address - Phone:540-437-5879
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-14
Last Update Date:2013-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01054140A207W00000X
VA0101251878207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
INP00467691OtherMEDICARE RAILROAD
IN200338430Medicaid
INH55138Medicare UPIN
IN200338430Medicaid