Provider Demographics
NPI:1366636904
Name:CURTISS SURGICAL ASSISTANTS LLC.
Entity Type:Organization
Organization Name:CURTISS SURGICAL ASSISTANTS LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MS
Authorized Official - First Name:KERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:CURTISS
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:502-222-1776
Mailing Address - Street 1:4707 HERON VIEW PL
Mailing Address - Street 2:
Mailing Address - City:LA GRANGE
Mailing Address - State:KY
Mailing Address - Zip Code:40031-6709
Mailing Address - Country:US
Mailing Address - Phone:502-222-1776
Mailing Address - Fax:502-222-1776
Practice Address - Street 1:4707 HERON VIEW PL
Practice Address - Street 2:
Practice Address - City:LA GRANGE
Practice Address - State:KY
Practice Address - Zip Code:40031-6709
Practice Address - Country:US
Practice Address - Phone:502-222-1776
Practice Address - Fax:502-222-1776
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-28
Last Update Date:2007-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY5257P363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty