Provider Demographics
NPI:1033840863
Name:PURDY, CARLI KAY (DC)
Entity Type:Individual
Prefix:DR
First Name:CARLI
Middle Name:KAY
Last Name:PURDY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:969 BARKLEY CIR
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73071-4404
Mailing Address - Country:US
Mailing Address - Phone:580-651-5550
Mailing Address - Fax:
Practice Address - Street 1:2214 TECUMSEH DR
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069-1002
Practice Address - Country:US
Practice Address - Phone:405-701-5345
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-22
Last Update Date:2022-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4486111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor