Provider Demographics
NPI:1962403949
Name:CURRY, KATHERINE ELIZABETH STENBERG (PA)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:ELIZABETH STENBERG
Last Name:CURRY
Suffix:
Gender:F
Credentials:PA
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Other - Credentials:
Mailing Address - Street 1:PO BOX 44008
Mailing Address - Street 2:UFJP - PROVIDER ENROLLMENT
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32231-4008
Mailing Address - Country:US
Mailing Address - Phone:904-244-3199
Mailing Address - Fax:904-244-3425
Practice Address - Street 1:841 PRUDENTIAL DR
Practice Address - Street 2:UFJAX - PEDIATRIC CARDIOTHORACIC SURGERY
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32207-8329
Practice Address - Country:US
Practice Address - Phone:904-493-2288
Practice Address - Fax:904-493-2363
Is Sole Proprietor?:No
Enumeration Date:2005-08-02
Last Update Date:2012-03-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI5601004476363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA425912533AMedicaid
FLP00461172OtherMEDICARE RAILROAD
FL292941400Medicaid
FLA1192WMedicare UPIN
GA425912533AMedicaid
FL292941400Medicaid
FLAI192ZMedicare PIN
FLAI192YMedicare PIN