Provider Demographics
NPI:1396913281
Name:CURL, KRISTY PROCTOR (DO)
Entity type:Individual
Prefix:DR
First Name:KRISTY
Middle Name:PROCTOR
Last Name:CURL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:KRISTY
Other - Middle Name:PROCTOR
Other - Last Name:GILBERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:1651 INDEPENDENCE CT STE 211
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209-4179
Mailing Address - Country:US
Mailing Address - Phone:205-580-1500
Mailing Address - Fax:205-844-3399
Practice Address - Street 1:1651 INDEPENDENCE CT STE 211
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-4179
Practice Address - Country:US
Practice Address - Phone:205-580-1500
Practice Address - Fax:205-844-3399
Is Sole Proprietor?:No
Enumeration Date:2008-02-14
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2005034470207N00000X
NC2008-00588207N00000X
AL1217207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
BG9515048OtherDEA