Purdom, Virginia King

Purdom, Virginia King is an individual health care provider with primary practice located at 109 Daniel Dr , Danville KY 40422-2527. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Purdom, Virginia King can be contacted via phone (859) 236-3361.

Contact Information

Primary practice address
109 Daniel Dr Danville KY 40422-2527
Phone: (859) 236-3361
Fax: (859) 239-9484
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 31728 South Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 45084 Kentucky

Profile Details

NPI number 1720214489
LBN Legal business name Purdom, Virginia King
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2009
Last updated Jul 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720214489 NPPES
Kentucky MEDICAID 7100202750

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