Doctor Name: | KEVIN CURTIS |
NPI Number: | 1023433075 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | NP |
License Number: | CNP 1845 |
Business Practice Address: | 13201 Ridgedale Dr Minnetonka, MN - 553051809 |
Business Phone Number: | 6122320238 |
Business Fax Number: | |
Mailing Address: | 13201 Ridgedale Dr, MINNETONKA |
State: | MN |
Postal Code: | 553051809 |
Phone Number: | 6122320238 |
Fax Number: | |
NPI Enumeration Date: | 02/27/2014 |
NPI Last Update Date: | 02/01/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | CNP 1845 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |