Provider Demographics
NPI:1811065519
Name:PURKETT, PAMELA S (ARNP)
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:S
Last Name:PURKETT
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Gender:F
Credentials:ARNP
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Mailing Address - Street 1:2040 HUTTON RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66109-4564
Mailing Address - Country:US
Mailing Address - Phone:913-299-3700
Mailing Address - Fax:913-299-3050
Practice Address - Street 1:5555 W 58TH ST
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:KS
Practice Address - Zip Code:66202-2722
Practice Address - Country:US
Practice Address - Phone:913-299-3700
Practice Address - Fax:913-299-3050
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2015-03-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KS44917363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health