Provider Demographics
NPI:1508599226
Name:JURA, KEVIN F (DRPH(C), NRP, FRSPH)
Entity Type:Individual
Prefix:MR
First Name:KEVIN
Middle Name:F
Last Name:JURA
Suffix:
Gender:M
Credentials:DRPH(C), NRP, FRSPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1315 GRAVIER ST APT 303
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70112-2043
Mailing Address - Country:US
Mailing Address - Phone:850-393-4550
Mailing Address - Fax:
Practice Address - Street 1:1315 GRAVIER ST APT 303
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70112-2043
Practice Address - Country:US
Practice Address - Phone:850-393-4550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-09
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD0209701146L00000X
MAP0902861146L00000X
LALA23-3166146L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
577622332568OtherNATIONAL EMS IDENTIFICATION NUMBER