Healthcare Provider Details

I. General information

NPI: 1124865001
Provider Name (Legal Business Name): CURSTIN KINSEY PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/09/2024
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4624 N DAVIS HWY
PENSACOLA FL
32503-2353
US

IV. Provider business mailing address

1899 RESERVE BLVD APT 168
GULF BREEZE FL
32563-7012
US

V. Phone/Fax

Practice location:
  • Phone: 850-494-0000
  • Fax:
Mailing address:
  • Phone: 850-819-7378
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA9118953
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: