Devine, Kurt M

Devine, Kurt M is an individual health care provider with primary practice located at 1908 Kruchten Ct S , Sartell MN 56377-4645. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Devine, Kurt M can be contacted via phone (320) 774-1080.

Contact Information

Primary practice address
1908 Kruchten Ct S Sartell MN 56377-4645
Phone: (320) 774-1080
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 33505 Minnesota
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 33505 Minnesota

Profile Details

NPI number 1457377657
LBN Legal business name Devine, Kurt M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Apr 15th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457377657 NPPES
Minnesota Other 28638DE BCBS OF MINNESOTA
Minnesota Other A003 BCBS OF MINNESOTA
Minnesota Other 107207C736 BCBS OF MINNESOTA
Minnesota Other 080056694 BCBS OF MINNESOTA
Minnesota MEDICAID 097702100 BCBS OF MINNESOTA
Minnesota Other NA9230454502 BCBS OF MINNESOTA
Minnesota Other 0120122 BCBS OF MINNESOTA
Minnesota Other HP10317 BCBS OF MINNESOTA

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