Basic Information
Provider Information
NPI: 1134603277
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KURE
FirstName: ANNE
MiddleName: LAUREL
NamePrefix:  
NameSuffix:  
Credential:  
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Mailing Information
Address1: 720 S LASALLE ST APT D
Address2:  
City: DURHAM
State: NC
PostalCode: 277053793
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 900 23RD ST NW
Address2:  
City: WASHINGTON
State: DC
PostalCode: 200372342
CountryCode: US
TelephoneNumber: 2027154000
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/24/2018
LastUpdateDate: 10/02/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363A00000X  N Physician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant 
363A00000XPA031521DCY Physician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant 

No ID Information.


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