Provider Demographics
NPI:1043221658
Name:WOHLRAB, KURT PATRICK (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:KURT
Middle Name:PATRICK
Last Name:WOHLRAB
Suffix:
Gender:M
Credentials:MD, MPH
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Mailing Address - Street 1:5 FIRST VILLAGE DR
Mailing Address - Street 2:PO BOX 2000
Mailing Address - City:PINEHURST
Mailing Address - State:NC
Mailing Address - Zip Code:28374
Mailing Address - Country:US
Mailing Address - Phone:910-295-6831
Mailing Address - Fax:910-295-0244
Practice Address - Street 1:5 FIRST VILLAGE DR
Practice Address - Street 2:
Practice Address - City:PINEHURST
Practice Address - State:NC
Practice Address - Zip Code:28374
Practice Address - Country:US
Practice Address - Phone:910-235-2977
Practice Address - Fax:910-215-3129
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-10
Last Update Date:2018-09-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
HI12901207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIVAD000Medicare UPIN