Healthcare Provider Details

I. General information

NPI: 1780070813
Provider Name (Legal Business Name): KELLY DAWN CURRY NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2015
Last Update Date: 10/25/2021
Certification Date: 10/25/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2900 1ST AVE ROOM 1025
HUNTINGTON WV
25702-1241
US

IV. Provider business mailing address

5170 US ROUTE 60
HUNTINGTON WV
25705-2004
US

V. Phone/Fax

Practice location:
  • Phone: 304-399-7484
  • Fax: 304-399-7579
Mailing address:
  • Phone: 304-528-4600
  • Fax: 304-399-0015

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN75578-NP-C
License Number StateWV
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number75578
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: