Healthcare Provider Details

I. General information

NPI: 1033406533
Provider Name (Legal Business Name): ROBIN GAULT CURRY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ROBIN ALLISON GAULT M.D.

II. Dates (important events)

Enumeration Date: 07/05/2011
Last Update Date: 04/24/2024
Certification Date: 04/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9880 ANGIES WAY SUITE 250
LOUISVILLE KY
40241-2851
US

IV. Provider business mailing address

PO BOX 776351
CHICAGO IL
60677-6351
US

V. Phone/Fax

Practice location:
  • Phone: 502-394-6341
  • Fax: 502-394-6340
Mailing address:
  • Phone: 502-588-9490
  • Fax: 502-272-5116

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number46050
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number46050
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: