Provider Demographics
NPI:1083852008
Name:KURZINSKY, MICHELLE A (RN)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:A
Last Name:KURZINSKY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4619 MILLPORT AVE SW
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44706-4515
Mailing Address - Country:US
Mailing Address - Phone:330-323-6158
Mailing Address - Fax:
Practice Address - Street 1:4619 MILLPORT AVE SW
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44706-4515
Practice Address - Country:US
Practice Address - Phone:330-323-6158
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-29
Last Update Date:2009-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN325134163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse