Provider Demographics
NPI:1265484323
Name:PURCELL, KULNARIN GAY (MD)
Entity Type:Individual
Prefix:DR
First Name:KULNARIN
Middle Name:GAY
Last Name:PURCELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4820 BOOTH ST
Mailing Address - Street 2:
Mailing Address - City:WESTWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66205-1829
Mailing Address - Country:US
Mailing Address - Phone:913-677-7041
Mailing Address - Fax:
Practice Address - Street 1:1325 S NOLAND RD
Practice Address - Street 2:
Practice Address - City:INDEPENDENCE
Practice Address - State:MO
Practice Address - Zip Code:64055-1346
Practice Address - Country:US
Practice Address - Phone:816-252-6647
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO110741207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO25981031OtherBCBS OF KANSAS CITY
MO6769791AMedicare ID - Type Unspecified
MO25981031OtherBCBS OF KANSAS CITY