Provider Demographics
NPI:1538248125
Name:KURTZ, HARRY DAVID (PA-C)
Entity type:Individual
Prefix:MR
First Name:HARRY
Middle Name:DAVID
Last Name:KURTZ
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7930 SKYLAND RIDGE PKWY STE 203
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27617-6813
Mailing Address - Country:US
Mailing Address - Phone:919-881-8295
Mailing Address - Fax:833-471-6191
Practice Address - Street 1:7930 SKYLAND RIDGE PKWY STE 203
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27617-6813
Practice Address - Country:US
Practice Address - Phone:919-881-8295
Practice Address - Fax:833-471-6191
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-03
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC104201363AM0700X, 363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC15676OtherBCBS-NC