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1124556881

NPI Code Detail

MEDICARE: KEVIN FRANCIS PURCELL MD

MEDICARE: KEVIN FRANCIS PURCELL MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	345961	LA
2	207X00000X	Orthopaedic Surgery Physician	V0121	MS
3	207XS0114X	Adult Reconstructive Orthopaedic Surgery Physician	V0121	TX
4	207XX0801X	Orthopaedic Trauma Physician	V0121	TX

General Provider Information

NPI Number	:	1124556881
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEVIN FRANCIS PURCELL MD

Provider Business Mailing Address
First Line	:	1541 KINGS HWY
Second Line	:
City	:	SHREVEPORT
State	:	LA
Zip	:	71103-4228
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2500 N STATE ST
Second Line	:
City	:	JACKSON
State	:	MS
Zip	:	39216-4500
Country	:	US
Telephone Number	:	601-984-6525
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/25/2017
Last Update Date	:	10/15/2025

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Directions to “ KEVIN FRANCIS PURCELL MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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