Provider Demographics
NPI:1497810402
Name:HURVITZ, KIMBERLY UHLES (MD)
Entity Type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:UHLES
Last Name:HURVITZ
Suffix:
Gender:F
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:PO BOX 50706
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93150-0706
Mailing Address - Country:US
Mailing Address - Phone:805-963-3757
Mailing Address - Fax:805-564-3332
Practice Address - Street 1:2936 DE LA VINA ST
Practice Address - Street 2:SUITE 200
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105-3354
Practice Address - Country:US
Practice Address - Phone:805-618-1616
Practice Address - Fax:805-617-3558
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2013-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA72486207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAFZ878ZMedicare PIN