Provider Demographics
NPI:1194032037
Name:KUREK, VALERIE REEVES (AP)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:REEVES
Last Name:KUREK
Suffix:
Gender:F
Credentials:AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19239 DALE MABRY HWY N
Mailing Address - Street 2:#155
Mailing Address - City:LUTZ
Mailing Address - State:FL
Mailing Address - Zip Code:33548-5067
Mailing Address - Country:US
Mailing Address - Phone:813-892-1062
Mailing Address - Fax:
Practice Address - Street 1:23546 STATE ROAD 54
Practice Address - Street 2:
Practice Address - City:LUTZ
Practice Address - State:FL
Practice Address - Zip Code:33559-6753
Practice Address - Country:US
Practice Address - Phone:813-892-1062
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-13
Last Update Date:2010-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP 2858171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist