Individual
MICHELLE MARIE MALONE PURVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2820 W BROADWAY STE 100, LOUISVILLE, KY 40211-1219
(502) 208-5945
Mailing address
3327 FERN LEA RD, LOUISVILLE, KY 40216-3647
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/26/2025
Last updated
08/26/2025
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