Individual
DR. KENNETH PURDY ARCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1003 DIVISION STREET, SUITE # 3, PRESCOTT, AZ 86301-1657
(928) 445-1611
(928) 445-0693
Mailing address
1995 N HOLLY DRIVE, PRESCOTT, AZ 86305-5152
(928) 778-1662
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6139
AZ
Other
Enumeration date
09/29/2006
Last updated
07/08/2007
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