Basic Information
Provider Information
NPI: 1578152898
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CURY
FirstName: KENDALL
MiddleName: MICHEL
NamePrefix: MRS.
NameSuffix:  
Credential: FNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2013 ADDISON RD NE
Address2:  
City: MARIETTA
State: GA
PostalCode: 300666508
CountryCode: US
TelephoneNumber: 6789782011
FaxNumber:  
Practice Location
Address1: 1000 JOHNSON FY RD NE
Address2:  
City: ATLANTA
State: GA
PostalCode: 303421611
CountryCode: US
TelephoneNumber: 4048518000
FaxNumber:  
Other Information
ProviderEnumerationDate: 01/12/2021
LastUpdateDate: 02/16/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 02/16/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000XF11200664GAN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
363LF0000XRN233409GAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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