Provider Type Icon

KURT PETTIS FINE M.D. NPI 1821104399


NPI Information

NPI: 1821104399
Provider Name: KURT PETTIS FINE, M.D.
Classification: Obstetrics & Gynecology - 207VX0000X
Entity Type: Individual

Specialization: Obstetrics

PECOS Registration: Yes

Address:
212 E CENTRAL AVE STE 340
SPOKANE, WA
ZIP 99208
Phone: (509) 484-1236
Get Directions

Kurt Pettis Fine, M.D. is an obstetrics obstetrics gynecology in Spokane, WA with 29 years of experience. The provider is a physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee Kurt Pettis Fine, M.D. NPI is 1821104399. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1995

The provider's business location address is:

212 E CENTRAL AVE STE 340
SPOKANE, WA
ZIP 99208-289
Phone: (509) 484-1236
Fax: (509) 484-2012

The NPI 1821104399 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/21/2006 and was last updated on 7/17/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207VX0000XObstetrics & GynecologyObstetrics37568WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1H03249MEDICARE UPINWASHINGTON
21107697MEDICAIDWASHINGTON
3AB10736MEDICARE ID-TYPE UNSPECIFIEDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.