Provider Demographics
NPI:1144200510
Name:KURTTS, TERRY A (MD)
Entity type:Individual
Prefix:DR
First Name:TERRY
Middle Name:A
Last Name:KURTTS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24980 STATE ST
Mailing Address - Street 2:PO DRAWER 519
Mailing Address - City:ELBERTA
Mailing Address - State:AL
Mailing Address - Zip Code:36530-2573
Mailing Address - Country:US
Mailing Address - Phone:251-986-7301
Mailing Address - Fax:251-986-5927
Practice Address - Street 1:24980 STATE ST
Practice Address - Street 2:PO DRAWER 519
Practice Address - City:ELBERTA
Practice Address - State:AL
Practice Address - Zip Code:36530-2573
Practice Address - Country:US
Practice Address - Phone:251-986-7301
Practice Address - Fax:251-986-5927
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-20
Last Update Date:2020-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00017102207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000023394Medicaid
AL0110614OtherUNITED HEALTHCARE
AL080064867OtherRAILROAD MEDICARE
AL23033OtherHEALTHSPRINGS OFALABAMA
AL51023394OtherBCBS-AL
AL5779394OtherAETNA
AL0110614OtherUNITED HEALTHCARE
AL000023394Medicaid