Individual
TYRIN PURVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5115 S 3RD ST, LOUISVILLE, KY 40214-2601
(502) 408-6909
Mailing address
601 BELLAMY CIR UNIT 106, LOUISVILLE, KY 40208-3721
(614) 569-6968
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/15/2020
Last updated
07/15/2020
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