Provider Demographics
NPI:1346416534
Name:STEVEN L. KURZWEIL, MD PC
Entity Type:Organization
Organization Name:STEVEN L. KURZWEIL, MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMILTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:636-937-6601
Mailing Address - Street 1:1455 US HIGHWAY 61 STE A
Mailing Address - Street 2:
Mailing Address - City:FESTUS
Mailing Address - State:MO
Mailing Address - Zip Code:63028-4158
Mailing Address - Country:US
Mailing Address - Phone:636-937-6601
Mailing Address - Fax:636-931-6619
Practice Address - Street 1:1455 US HIGHWAY 61 STE A
Practice Address - Street 2:
Practice Address - City:FESTUS
Practice Address - State:MO
Practice Address - Zip Code:63028-4158
Practice Address - Country:US
Practice Address - Phone:636-937-6601
Practice Address - Fax:636-931-6619
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-07
Last Update Date:2020-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO103042208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO000013610Medicare PIN