Healthcare Provider Details

I. General information

NPI: 1003772955
Provider Name (Legal Business Name): CURA ONE CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2026
Last Update Date: 04/08/2026
Certification Date: 04/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3550 AIRPORT WAY STE 4
FAIRBANKS AK
99709-4772
US

IV. Provider business mailing address

3550 AIRPORT WAY STE 4
FAIRBANKS AK
99709-4772
US

V. Phone/Fax

Practice location:
  • Phone: 907-313-6084
  • Fax: 505-805-7356
Mailing address:
  • Phone: 907-313-6084
  • Fax: 505-805-7356

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084B0040X
TaxonomyBehavioral Neurology & Neuropsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: GHIJUNG KYLIE KIM I
Title or Position: FOUNDER/OWNER
Credential: PMHNP-BC, AGNP-C
Phone: 907-313-6084