Individual
KENNETH R PURDOM II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6354 PAINTER AVE, WHITTIER, CA 90601-4632
(562) 698-0948
(562) 698-7058
Mailing address
6354 PAINTER AVE, WHITTIER, CA 90601-4632
(562) 698-0948
(562) 698-7058
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A21180
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A21180
—
CA
Enumeration date
12/21/2006
Last updated
08/29/2013
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