1932330552 NPI number — KENNETH F CURL

Table of content: (NPI 1932330552)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932330552 NPI number — KENNETH F CURL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
KENNETH F CURL
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1932330552
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/30/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1303
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
N WILKESBORO
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28659-1303
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
336-667-0335
Provider Business Mailing Address Fax Number:
336-667-4434

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1404 WILLOW LN
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
N WILKESBORO
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28659-3584
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
336-667-0335
Provider Business Practice Location Address Fax Number:
336-667-4434
Provider Enumeration Date:
07/30/2009

Additional Information

Authorized Official

Authorized Official Last Name:
MIKEAL
Authorized Official First Name:
LISA
Authorized Official Middle Name:
G
Authorized Official Title or Position:
OFFICE MANAGER
Authorized Official Telephone Number:
336-667-0335

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  31264 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 8926556 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2330516 . This is a "MEDICARE PTAN" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com