Healthcare Provider Details

I. General information

NPI: 1023401338
Provider Name (Legal Business Name): KARA NICOLE PURDY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/11/2015
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

202 N DIVISION ST
AUBURN WA
98001-4939
US

IV. Provider business mailing address

PO BOX 920140
DALLAS TX
75392-0140
US

V. Phone/Fax

Practice location:
  • Phone: 253-833-7711
  • Fax:
Mailing address:
  • Phone: 877-346-2211
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberMD61255096
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: