Doctor Name: | MS. PAULLIE PURDY |
NPI Number: | 1093178980 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMT |
License Number: | 10354 |
Business Practice Address: | 3-1866 Kaumualii Hwy. Lihue, HI - 96766 |
Business Phone Number: | 8083333688 |
Business Fax Number: | |
Mailing Address: | 5370 Kawaihau Rd., KAPAA |
State: | HI |
Postal Code: | 967461209 |
Phone Number: | 8083469162 |
Fax Number: | |
NPI Enumeration Date: | 03/30/2016 |
NPI Last Update Date: | 03/30/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 10354 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |