Kenneth Purdy Archer, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

6139 Issued in AZ

Practice address

1003 Division Street
Suite # 3
Prescott, AZ 86301-1657

Phone

(928) 445-1611

Fax

(928) 445-0693

NPI assigned

Sep 29, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154413789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1995 N HOLLY DRIVE",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863055152",
            "telephone_number": "928-778-1662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 DIVISION STREET",
            "address_2": "SUITE # 3",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011657",
            "telephone_number": "928-445-1611",
            "fax_number": "928-445-0693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCHER",
        "first_name": "KENNETH",
        "middle_name": "PURDY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "6139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Anzelmo, OTR/L
• Elena Cristal Apolinar, FNP-BC
• Apria Healthcare LLC
• Arak LLC (First Choice Medical Center)
• Alexandra Lee Arakawa, APRN
• Marissa Grace Archer, PT, DPT
• Zachary Archer, CCP
• Arches Legacy, LLC (Legacy Home Healthcare)
• Arches PPT, LLC (Peterson Physical Therapy)
• Thomas Joseph Frederick Arietta, DMD

• Family Medicine Physician in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.