Individual
BRENDA LOUISE PURSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
209 W 7TH ST, COFFEYVILLE, KS 67337-4954
(620) 251-1100
(620) 251-7466
Mailing address
209 W 7TH ST, PO BOX 564, COFFEYVILLE, KS 67337-4954
(620) 251-1100
(620) 251-7466
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
15-00687
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042391
BLUE CROSS BLUE SHIELD
KS
01
—
100199200A
OKLAHOMA MEDICAID
OK
05
—
100345380A
—
KS
01
—
970010390
TRAVELERS MEDICARE
KS
Enumeration date
01/12/2006
Last updated
04/08/2015
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