Healthcare Provider Details
I. General information
NPI: 1164586285
Provider Name (Legal Business Name): MELISSA L CURRIE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 12/21/2006
Last Update Date: 05/19/2022
Certification Date: 05/19/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
231 E CHESTNUT ST
LOUISVILLE KY
40202-1821
US
IV. Provider business mailing address
PO BOX 776879
CHICAGO IL
60677-6879
US
V. Phone/Fax
- Phone: 502-882-9237
- Fax: 502-893-3900
- Phone: 502-272-5817
- Fax: 502-272-5339
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | 39591 |
| License Number State | KY |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2080C0008X |
| Taxonomy | Child Abuse Pediatrics Physician |
| License Number | 39591 |
| License Number State | KY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: