Provider Demographics
NPI:1952330862
Name:JUTE, KURT ANDREW (DO)
Entity Type:Individual
Prefix:
First Name:KURT
Middle Name:ANDREW
Last Name:JUTE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1603 MEDICAL DR
Mailing Address - Street 2:SUITE D
Mailing Address - City:LAURINBURG
Mailing Address - State:NC
Mailing Address - Zip Code:28352-5540
Mailing Address - Country:US
Mailing Address - Phone:910-277-1411
Mailing Address - Fax:910-277-2911
Practice Address - Street 1:1603 MEDICAL DR
Practice Address - Street 2:SUITE D
Practice Address - City:LAURINBURG
Practice Address - State:NC
Practice Address - Zip Code:28352-5540
Practice Address - Country:US
Practice Address - Phone:910-277-1411
Practice Address - Fax:910-277-2911
Is Sole Proprietor?:No
Enumeration Date:2006-07-02
Last Update Date:2007-11-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC9800584207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC890109AMedicaid
SCNPA810Medicaid
NC11517OtherBCBS OF NC
NC2325804AMedicare PIN
SCNPA810Medicaid
NC890109AMedicaid