Provider Demographics
NPI:1447361290
Name:KURTZMAN, KIMBERLY SHEMER (DPT)
Entity type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:SHEMER
Last Name:KURTZMAN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:DR
Other - First Name:KIMBERLY
Other - Middle Name:
Other - Last Name:SHEMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:128 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-2633
Mailing Address - Country:US
Mailing Address - Phone:410-382-8956
Mailing Address - Fax:
Practice Address - Street 1:304 HARRY S TRUMAN PKWY STE B
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-7379
Practice Address - Country:US
Practice Address - Phone:410-382-8956
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2013-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY027390-1225100000X
MD214022251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist