Provider Demographics
NPI:1538813118
Name:CURRY, NA KYMBRA CHAUNTE
Entity type:Individual
Prefix:
First Name:NA KYMBRA
Middle Name:CHAUNTE
Last Name:CURRY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8093 PINFEATHER DR
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN
Mailing Address - State:CO
Mailing Address - Zip Code:80817-4258
Mailing Address - Country:US
Mailing Address - Phone:804-704-2576
Mailing Address - Fax:
Practice Address - Street 1:2132 E BIJOU ST STE 109
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80909-5967
Practice Address - Country:US
Practice Address - Phone:719-600-7647
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-11
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO236Medicaid
CO568946544OtherBCBS
CO5874OtherHEALTH PARTNERS