Basic Information
Provider Information
NPI: 1700444676
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KURY
FirstName: JOSEPH
MiddleName:  
NamePrefix:  
NameSuffix: II
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 615 ELSINORE PL
Address2:  
City: CINCINNATI
State: OH
PostalCode: 452021459
CountryCode: US
TelephoneNumber: 8335104357
FaxNumber: 8664602997
Practice Location
Address1: 999 N MAIN ST
Address2:  
City: AKRON
State: OH
PostalCode: 443101456
CountryCode: US
TelephoneNumber: 8335104357
FaxNumber: 8664602997
Other Information
ProviderEnumerationDate: 06/05/2019
LastUpdateDate: 10/04/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/04/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101Y00000XC.1901780-TRNEOHN Behavioral Health & Social Service ProvidersCounselor 
101YA0400X  N Behavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
101YP2500XC.2002530OHY Behavioral Health & Social Service ProvidersCounselorProfessional

No ID Information.


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