Provider Demographics
NPI:1962633602
Name:CURTIS, KAY (CHS)
Entity Type:Individual
Prefix:MRS
First Name:KAY
Middle Name:
Last Name:CURTIS
Suffix:
Gender:F
Credentials:CHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:128 N VALLEY ST
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91505-4035
Mailing Address - Country:US
Mailing Address - Phone:818-842-8921
Mailing Address - Fax:
Practice Address - Street 1:128 N VALLEY ST
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-4035
Practice Address - Country:US
Practice Address - Phone:818-842-8921
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-29
Last Update Date:2009-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist