Individual
MRS. LISA EVELYN PURDY-KANAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
47101 HAYES, SHELBY TOWNSHIP, MI 48315-1213
(586) 532-9774
(586) 532-9767
Mailing address
47101 HAYES RD, SHELBY TOWNSHIP, MI 48315-1213
(586) 532-9774
(586) 532-9767
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301005277
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102491
GREAT LAKES HEALTH PLAN
MI
05
—
3357077
—
MI
01
—
950E05212
BCBSM
MI
01
—
CH500091
MCARE
MI
Enumeration date
05/17/2006
Last updated
07/08/2007
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