Purdy, Karen Adeline
Purdy, Karen Adeline is an individual health care provider with primary practice located at 2715 Alkay Dr , Shreveport LA 71118-2509. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Purdy, Karen Adeline can be contacted via phone (318) 212-8951.Contact Information
Primary practice address
2715 Alkay Dr
Shreveport LA 71118-2509
Phone: (318) 212-8951
Fax: (318) 212-6752
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | MD.018977 | Louisiana |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD.018977 | Louisiana |
Profile Details
| NPI number | 1932106952 |
|---|---|
| LBN Legal business name | Purdy, Karen Adeline |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2005 |
| Last updated | Mar 16th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932106952 | NPPES |
| Tennessee | Other | 080157229 | RAILROAD MEDICARE |
| Tennessee | Other | 140376 | RAILROAD MEDICARE |
| Tennessee | Other | 3147088 | RAILROAD MEDICARE |
| Tennessee | MEDICAID | 3851650 | RAILROAD MEDICARE |
| Tennessee | Other | 96964 | RAILROAD MEDICARE |
| Tennessee | MEDICAID | 148975 | RAILROAD MEDICARE |
| Tennessee | MEDICAID | 00114317 | RAILROAD MEDICARE |
| Tennessee | Other | 2708986 | RAILROAD MEDICARE |
| Tennessee | MEDICAID | 1726672 | RAILROAD MEDICARE |
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