Provider Demographics
NPI:1285888792
Name:BELILES, CURTINA LEIGH (PA-C)
Entity type:Individual
Prefix:
First Name:CURTINA
Middle Name:LEIGH
Last Name:BELILES
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:CURTINA
Other - Middle Name:LEIGH
Other - Last Name:BEBLO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:201 PARK ST
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:KY
Mailing Address - Zip Code:42101-1759
Mailing Address - Country:US
Mailing Address - Phone:270-526-3841
Mailing Address - Fax:270-783-3759
Practice Address - Street 1:101 W ROBERTS ST
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:KY
Practice Address - Zip Code:42261-7942
Practice Address - Country:US
Practice Address - Phone:270-526-3841
Practice Address - Fax:270-783-3759
Is Sole Proprietor?:No
Enumeration Date:2008-11-11
Last Update Date:2016-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical