Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | R2729 | KY |
NPI | 1982959367 |
---|---|
Provider Name | Marc S Curvin |
First Address | Edgewood, KY 41017-5446 |
Second Address | Edgewood, KY 41017-5446 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2012 |
Last Update Date | 20/07/2012 |