Provider Demographics
NPI:1295100113
Name:CURLEY, JEFFREY JOSEPH (ATC)
Entity type:Individual
Prefix:
First Name:JEFFREY
Middle Name:JOSEPH
Last Name:CURLEY
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 ACADEMIC PKWY
Mailing Address - Street 2:KCU BOX 778
Mailing Address - City:GRAYSON
Mailing Address - State:KY
Mailing Address - Zip Code:41143-2205
Mailing Address - Country:US
Mailing Address - Phone:419-308-2825
Mailing Address - Fax:606-474-3170
Practice Address - Street 1:100 ACADEMIC PKWY
Practice Address - Street 2:KCU BOX 778
Practice Address - City:GRAYSON
Practice Address - State:KY
Practice Address - Zip Code:41143-2205
Practice Address - Country:US
Practice Address - Phone:419-308-2825
Practice Address - Fax:606-474-3170
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-03
Last Update Date:2015-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYAT179282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital