Individual
DR. KATHLEEN PURCELL-CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
7323 COLLEGE ST, IRMO, SC 29063-2902
(803) 750-6600
(803) 750-6601
Mailing address
7323 COLLEGE ST, IRMO, SC 29063-2902
(803) 750-6600
(803) 750-6601
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
982
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D09823
—
SC
Enumeration date
01/18/2006
Last updated
11/04/2015
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