Healthcare Provider Details

I. General information

NPI: 1952292054
Provider Name (Legal Business Name): JUSTIN KEITH CURLEY RN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2025
Last Update Date: 07/15/2025
Certification Date: 07/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 HOSPITAL DR
COLUMBIA MO
65201-5275
US

IV. Provider business mailing address

1704 HIGHRIDGE DR # B
COLUMBIA MO
65203-1934
US

V. Phone/Fax

Practice location:
  • Phone: 573-814-6348
  • Fax:
Mailing address:
  • Phone: 660-635-1040
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number2015022659
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: