Provider Demographics
NPI:1811795297
Name:KURTH, MADISON
Entity type:Individual
Prefix:
First Name:MADISON
Middle Name:
Last Name:KURTH
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2401 HIGHWAY 6 E APT 44204
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52240-6869
Mailing Address - Country:US
Mailing Address - Phone:563-580-2943
Mailing Address - Fax:
Practice Address - Street 1:2401 HIGHWAY 6 E APT 44204
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52240-6869
Practice Address - Country:US
Practice Address - Phone:563-580-2943
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program