Individual
DR. VIRGINIA KING PURDOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
109 DANIEL DR, DANVILLE, KY 40422-2527
(859) 236-3361
(859) 239-9484
Mailing address
109 DANIEL DR, DANVILLE, KY 40422-2527
(859) 236-3361
(859) 239-9484
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
31728
SC
207Q00000X
Family Medicine Physician
Primary
45084
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100202750
—
KY
Enumeration date
06/08/2009
Last updated
07/21/2022
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