Provider Demographics
NPI:1821976366
Name:CURRY, KATHLEEN ESTHER (PMHNP-C)
Entity type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:ESTHER
Last Name:CURRY
Suffix:
Gender:F
Credentials:PMHNP-C
Other - Prefix:
Other - First Name:KATHLEEN
Other - Middle Name:ESTHER
Other - Last Name:CURRY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:123 ASHFORD PARK
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31210-8011
Mailing Address - Country:US
Mailing Address - Phone:478-318-6886
Mailing Address - Fax:
Practice Address - Street 1:39210 STATE ST
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-1456
Practice Address - Country:US
Practice Address - Phone:510-451-2000
Practice Address - Fax:510-447-4808
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-22
Last Update Date:2025-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95035341363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health