Kurry Aloysius Gasser, MD
Individual provider Active NPI Family Medicine Physician · Fort Knox, KY
NPI 1669977153 · NPPES record last updated Jan 23, 2024
Key facts
- NPI
- 1669977153
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 56642 (KY)
- Practice address
- 200 Brule St
Fort Knox, KY 40121-6100 - Phone
- (502) 626-9766
- NPI assigned
- Mar 27, 2018
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230315001071 | KY | Order and Referring Only - Family Practice |
4486028446 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56642 | KY | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 56642 | KY | Yes |
Addresses
Primary practice location
200 Brule St
Fort Knox, KY 40121-6100
Mailing address
200 Brule St
Fort Knox, KY 40121-6100
Other providers in Fort Knox, KY
- Bruce Fried
- Charlen Fry
- Isiah Galarza
- Amanda Gani
- John Joseph Gartside
- Robin Rochelle George
- Bailey Giblin
- Erek Rand Gillespie
- Dean Richard Giulitto
- Priscilla Faye Goff
All providers in Fort Knox, KY · Family Medicine Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 23, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.