Provider Demographics
NPI:1154862357
Name:KURZ, TROY LEWIS
Entity type:Individual
Prefix:
First Name:TROY
Middle Name:LEWIS
Last Name:KURZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:462 STEVENS AVE STE 310
Mailing Address - Street 2:
Mailing Address - City:SOLANA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92075-2066
Mailing Address - Country:US
Mailing Address - Phone:858-617-0004
Mailing Address - Fax:
Practice Address - Street 1:462 STEVENS AVE STE 310
Practice Address - Street 2:
Practice Address - City:SOLANA BEACH
Practice Address - State:CA
Practice Address - Zip Code:92075-2066
Practice Address - Country:US
Practice Address - Phone:858-617-0004
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-20
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1571902084P0800X, 2084P0804X
ORMD2094542084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry