Provider Demographics
NPI:1013152412
Name:CURTZ, BRENDA KYRISS (MD)
Entity Type:Individual
Prefix:DR
First Name:BRENDA
Middle Name:KYRISS
Last Name:CURTZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 DEEPWOOD DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40505-2105
Mailing Address - Country:US
Mailing Address - Phone:859-299-2130
Mailing Address - Fax:
Practice Address - Street 1:17 DEEPWOOD DR
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40505-2105
Practice Address - Country:US
Practice Address - Phone:859-299-2130
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-14
Last Update Date:2008-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY26668207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine