Wurtz, Kenneth S

Wurtz, Kenneth S is an individual health care provider with primary practice located at 1161 Cook Rd , Orangeburg SC 29118-8204. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Wurtz, Kenneth S can be contacted via phone (803) 395-4600.

Contact Information

Primary practice address
1161 Cook Rd Orangeburg SC 29118-8204
Phone: (803) 395-4600
Fax: (803) 395-4620
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 20014 South Carolina
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 20014 South Carolina

Profile Details

NPI number 1700880119
LBN Legal business name Wurtz, Kenneth S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Nov 25th, 2015 - about 11 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 1700880119 NPPES
South Carolina MEDICAID G25850

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