Provider Demographics
NPI:1821048729
Name:CURTIS, KIMBERLY JOHN (MD)
Entity Type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:JOHN
Last Name:CURTIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:601 W SPRUCE ST
Mailing Address - Street 2:SUITE K
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59802-4057
Mailing Address - Country:US
Mailing Address - Phone:406-728-4160
Mailing Address - Fax:406-728-2551
Practice Address - Street 1:601 W SPRUCE ST
Practice Address - Street 2:SUITE K
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59802-4057
Practice Address - Country:US
Practice Address - Phone:406-728-4160
Practice Address - Fax:406-728-2551
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2007-10-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MT3897207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MTE32850Medicare UPIN