Individual
KATIE LYNN PURDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
250 3RD ST NW, STE 201, WINTER HAVEN, FL 33881-4605
(863) 318-9696
(863) 318-8075
Mailing address
250 3RD ST NW, STE 201, WINTER HAVEN, FL 33881-4605
(863) 318-9696
(863) 318-8075
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9108488
FL
Other
Enumeration date
01/22/2015
Last updated
04/12/2017
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