Individual
KAY S PURNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4193 PINEHURST BLVD, SOUTHAVEN, MS 38672-6737
(901) 485-5917
(901) 485-5917
Mailing address
4193 PINEHURST BLVD, SOUTHAVEN, MS 38672-6737
(901) 485-5917
(901) 485-5917
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D-2678
MS
Other
Enumeration date
10/04/2025
Last updated
10/04/2025
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