Provider Demographics
NPI:1457388449
Name:HELGERSON, KURT P (MD)
Entity type:Individual
Prefix:DR
First Name:KURT
Middle Name:P
Last Name:HELGERSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:6268 E.AB AVE.
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:MI
Mailing Address - Zip Code:49083-9521
Mailing Address - Country:US
Mailing Address - Phone:269-629-5001
Mailing Address - Fax:269-629-7137
Practice Address - Street 1:8906 M 89
Practice Address - Street 2:
Practice Address - City:RICHLAND
Practice Address - State:MI
Practice Address - Zip Code:49083
Practice Address - Country:US
Practice Address - Phone:269-286-7130
Practice Address - Fax:269-286-7131
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301406802207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIF05585Medicare UPIN