MEDICARE: MS. KATHLEEN GLOR CURRY C.R.N.P.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	1-073534	AL

General Provider Information

NPI Number	:	1669416053
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KATHLEEN GLOR CURRY C.R.N.P.

Provider Business Mailing Address
First Line	:	14050 NW 14TH ST
Second Line	:	SUITE 190
City	:	SUNRISE
State	:	FL
Zip	:	33323-2865
Country	:	US
Telephone Number	:	800-424-3672
Fax Number	:	954-377-3042

Provider Business Practice Location Address
First Line	:	380 WOODS COVE RD
Second Line	:
City	:	SCOTTSBORO
State	:	AL
Zip	:	35768-2428
Country	:	US
Telephone Number	:	256-259-4444
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2006
Last Update Date	:	03/27/2008

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