Provider Demographics
NPI:1568457711
Name:CURDUE, KATHRYN J (MD)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:J
Last Name:CURDUE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:8170 33RD AVE S
Mailing Address - Street 2:MS21110Q
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55425-4516
Mailing Address - Country:US
Mailing Address - Phone:952-883-5375
Mailing Address - Fax:651-254-9426
Practice Address - Street 1:640 JACKSON ST - MS 11302C
Practice Address - Street 2:HEALTHPARTNERS REGIONS BEHAVIORAL HEALTH
Practice Address - City:ST. PAUL
Practice Address - State:MN
Practice Address - Zip Code:55101-2502
Practice Address - Country:US
Practice Address - Phone:612-254-4786
Practice Address - Fax:651-254-9426
Is Sole Proprietor?:No
Enumeration Date:2005-09-14
Last Update Date:2016-05-05
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Provider Licenses
StateLicense IDTaxonomies
IA285152084P0800X
MN478812084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA2116780Medicaid
IAE76760Medicare UPIN
IAI11653Medicare ID - Type Unspecified