Individual
KAREN ADELINE PURDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2715 ALKAY DR, SHREVEPORT, LA 71118-2509
(318) 212-8951
(318) 212-6752
Mailing address
2715 ALKAY DR, SHREVEPORT, LA 71118-2509
(318) 212-8951
(318) 212-6752
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD.018977
LA
208D00000X
General Practice Physician
MD.018977
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00114317
—
MS
01
—
080157229
RAILROAD MEDICARE
TN
01
—
140376
UNITED HEALTHCARE
—
05
—
148975
—
AL
05
—
1726672
—
LA
01
—
2708986
CIGNA
—
01
—
3147088
BCBS
TN
05
—
3851650
—
TN
01
—
96964
BCBS
AR
Enumeration date
07/05/2005
Last updated
03/16/2021
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