Provider Demographics
NPI:1144844556
Name:AUERNIG, KURT M (BC-HIS)
Entity type:Individual
Prefix:
First Name:KURT
Middle Name:M
Last Name:AUERNIG
Suffix:
Gender:M
Credentials:BC-HIS
Other - Prefix:
Other - First Name:KURT
Other - Middle Name:M
Other - Last Name:AUERNIG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BC-HIS
Mailing Address - Street 1:625 E 500 S STE 104
Mailing Address - Street 2:
Mailing Address - City:BOUNTIFUL
Mailing Address - State:UT
Mailing Address - Zip Code:84010-3817
Mailing Address - Country:US
Mailing Address - Phone:801-294-6300
Mailing Address - Fax:801-294-6302
Practice Address - Street 1:625 E 500 S STE 104
Practice Address - Street 2:
Practice Address - City:BOUNTIFUL
Practice Address - State:UT
Practice Address - Zip Code:84010-3817
Practice Address - Country:US
Practice Address - Phone:801-294-6300
Practice Address - Fax:801-294-6300
Is Sole Proprietor?:No
Enumeration Date:2020-06-01
Last Update Date:2020-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5208384-4601237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist