Individual
DR. KENNETH DAVID PURK JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
NAVAL HOSPITAL, MARINE CORPS AIR STATION CHERRY POINT, HAVELOCK, NC 28533
252
0266
Mailing address
109 WINGATE DR, NEW BERN, NC 28562-8413
(252) 635-9386
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3436 / T1525
OH
Other
Enumeration date
01/17/2006
Last updated
07/08/2007
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