Provider Demographics
NPI:1265671002
Name:KURTZ, KAREN (IBCLC)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:
Last Name:KURTZ
Suffix:
Gender:F
Credentials:IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 OLD YORK RD
Mailing Address - Street 2:
Mailing Address - City:TURNERSVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08012-2143
Mailing Address - Country:US
Mailing Address - Phone:609-560-2218
Mailing Address - Fax:
Practice Address - Street 1:23 OLD YORK RD
Practice Address - Street 2:
Practice Address - City:TURNERSVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08012-2143
Practice Address - Country:US
Practice Address - Phone:609-560-2218
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-18
Last Update Date:2011-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN