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NPI Code Detail

MEDICARE: PHILIP PURSLEY

MEDICARE: PHILIP PURSLEY
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
1101YP2500XProfessional Counselor148247KY

General Provider Information

NPI Number : 1770984411
Entity Type Code : Individual
Provider Name (Legal Business Name) : PHILIP PURSLEY
Provider Business Mailing Address
First Line : 9940 ALVATON RD
Second Line :
City : ALVATON
State : KY
Zip : 42122-9657
Country : US
Telephone Number : 270-746-6600
Fax Number : 270-842-9008
Provider Business Practice Location Address
First Line : 9940 ALVATON RD
Second Line :
City : ALVATON
State : KY
Zip : 42122-9657
Country : US
Telephone Number : 270-746-6600
Fax Number : 270-842-9008
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2014
Last Update Date : 05/27/2025

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Directions to “ PHILIP PURSLEY ” Practice Location

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