Provider Demographics
NPI:1508008970
Name:PUREFOY, FELICIA KAREN (MEDICAL ASSISTANT)
Entity Type:Individual
Prefix:MISS
First Name:FELICIA
Middle Name:KAREN
Last Name:PUREFOY
Suffix:
Gender:F
Credentials:MEDICAL ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 W BURNS AVE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44310-1306
Mailing Address - Country:US
Mailing Address - Phone:330-928-9912
Mailing Address - Fax:
Practice Address - Street 1:25 WEST BURNS AVE
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44310
Practice Address - Country:US
Practice Address - Phone:330-928-9912
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-01
Last Update Date:2009-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171WH0202XOther Service ProvidersContractorHome Modifications