Eppley, Kurt Christian

Eppley, Kurt Christian is an individual health care provider with primary practice located at 1005 Mar Walt Drive Immediate Care Department, Fort Walton Beach FL 32547-6796. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Eppley, Kurt Christian can be contacted via phone (850) 863-8219.

Contact Information

Primary practice address
1005 Mar Walt Drive Immediate Care Department Fort Walton Beach FL 32547-6796
Phone: (850) 863-8219
Fax: (850) 863-8249
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME117772 Florida

Profile Details

NPI number 1962601815
LBN Legal business name Eppley, Kurt Christian
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2007
Last updated Jan 16th, 2017 - about 9 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 1962601815 NPPES
Florida MEDICAID 009839800
Florida Other 14S7K

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