Provider Demographics
NPI:1013581768
Name:KMED LLC
Entity Type:Organization
Organization Name:KMED LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:KELLYANN
Authorized Official - Middle Name:
Authorized Official - Last Name:CURNAYN
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, APRN-BC
Authorized Official - Phone:352-480-4010
Mailing Address - Street 1:15151 S US HIGHWAY 441 STE 300
Mailing Address - Street 2:
Mailing Address - City:SUMMERFIELD
Mailing Address - State:FL
Mailing Address - Zip Code:34491-4482
Mailing Address - Country:US
Mailing Address - Phone:352-480-4010
Mailing Address - Fax:352-657-1393
Practice Address - Street 1:15151 S US HIGHWAY 441 STE 300
Practice Address - Street 2:
Practice Address - City:SUMMERFIELD
Practice Address - State:FL
Practice Address - Zip Code:34491-4482
Practice Address - Country:US
Practice Address - Phone:352-480-4010
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-18
Last Update Date:2023-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary CareGroup - Single Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1396155388OtherNPI PERSONAL