Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 53-80561-082 | KS |
NPI | 1073273371 |
---|---|
Provider Name | Krista Marie Mccurley |
First Address | Lawrence, KS 66044-1335 |
Second Address | Lawrence, KS 66044-1335 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/12/2021 |
Last Update Date | 28/12/2021 |