Individual
DR. KEVIN PATRICK PURGIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
439 SEWELL DR, SPARTA, TN 38583-1223
(931) 837-0837
(931) 837-0838
Mailing address
421 SEWELL DR, SPARTA, TN 38583-1223
(931) 738-4395
(931) 738-4330
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2094
TN
208600000X
Surgery Physician
5101015467
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1519997
—
TN
Enumeration date
04/16/2007
Last updated
12/17/2014
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