Individual
KELANDA PURVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SPECIALIST
Contact information
Practice address
2201 W STAN SCHULUTER LOOP, SUITE A-400, KILLEEN, TX 76549
(254) 629-0064
Mailing address
3102 YAUPON RD APT B, COPPERAS COVE, TX 76522-7952
(254) 629-0064
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1914468
TX
Other
Enumeration date
04/13/2023
Last updated
04/13/2023
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