KURTISS E BOLDT


Address: 7474 Creedmoor Rd, Ste 315, Raleigh, NC 27613-1663
Phone: 9194600615

KURTISS E BOLDT (NPI# 1386837979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386837979
Entity Type Individual
Full Name KURTISS E BOLDT
Credential PHD
Practice Address 7474 Creedmoor Rd
Ste 315
Raleigh
NC 27613-1663
Mailing Address 7474-315 Creedmoor Rd
Raleigh
NC 27613-1663
Practice Telephone 9194600615
Mailing Telephone 9194560615
Enumeration Date 2007-08-27
Last Update Date 2007-08-27
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
2625 NC Behavioral Health & Social Service Providers

Office Location

Street Address 7474 CREEDMOOR RD
STE 315
City RALEIGH
State NC
Zip Code 27613-1663

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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1104438738 Rebekah Lynn Musselwhite Counselor 8512 Six Forks Rd Ste 1010, Raleigh, NC 27615-3255 2020-08-17
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Competitor

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City RALEIGH
Zip Code 27613

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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