Healthcare Provider Details

I. General information

NPI: 1316932494
Provider Name (Legal Business Name): CURTIS L. HIGH JR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2005
Last Update Date: 12/11/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1740 NICHOLASVILLE RD
LEXINGTON KY
40503-1431
US

IV. Provider business mailing address

PO BOX 910439
LEXINGTON KY
40591-0439
US

V. Phone/Fax

Practice location:
  • Phone: 859-260-6970
  • Fax: 859-260-6649
Mailing address:
  • Phone: 859-971-4685
  • Fax: 859-971-4602

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number25309
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number25309
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: