Provider Demographics
NPI:1831131531
Name:URBAN, KURT E (DO)
Entity Type:Individual
Prefix:DR
First Name:KURT
Middle Name:E
Last Name:URBAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 EXECUTIVE CIR
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31406-3345
Mailing Address - Country:US
Mailing Address - Phone:912-355-2400
Mailing Address - Fax:912-355-5324
Practice Address - Street 1:5 EXECUTIVE CIR
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406-3345
Practice Address - Country:US
Practice Address - Phone:912-355-2400
Practice Address - Fax:912-355-5324
Is Sole Proprietor?:No
Enumeration Date:2006-06-10
Last Update Date:2009-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA051561207P00000X
SC887207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000948835Medicaid
GA000948835AMedicaid
GA000948835CMedicaid
GA000948835HMedicaid
GA000948835DMedicaid
SD000948835FMedicaid
SCG51561Medicaid
GA10059006OtherAMERIGROUP
GA000948835BMedicaid
GA000948835GMedicaid
SD000948835FMedicaid
GA93BDQWMMedicare PIN
GA000948835BMedicaid
SCH299197919Medicare PIN
GA000948835Medicaid
SCG51561Medicaid