Provider Demographics
NPI:1851601314
Name:CURO, KEVIN (PA)
Entity Type:Individual
Prefix:MR
First Name:KEVIN
Middle Name:
Last Name:CURO
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3543 84TH ST APT 104
Mailing Address - Street 2:
Mailing Address - City:JACKSON HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11372-5375
Mailing Address - Country:US
Mailing Address - Phone:917-586-4686
Mailing Address - Fax:
Practice Address - Street 1:3543 84TH ST APT 104
Practice Address - Street 2:
Practice Address - City:JACKSON HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11372-5375
Practice Address - Country:US
Practice Address - Phone:917-586-4686
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-19
Last Update Date:2010-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008240-1363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant