Individual ProviderKaren Kaur PurewalStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address18701 N 67th Ave, Glendale, AZ 85308-7100(623) 561-1000(209) 628-1203PECOS EnrollmentBased on the most recent information from CMS, provider Karen Kaur Purewal does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 8 days ago.Profile DetailsProvider ID1659066108Provider TypeIndividualFull NamePurewal, Karen KaurGenderFemaleSole ProprietorNoEnumeration Date4/10/2023Last Updated4/10/2023Contact InformationPractice LocationPractice Address18701 N 67th Ave, Glendale, AZ 85308-7100Phone(623) 561-1000FaxUnlisted FaxMailing LocationMailing Address2009 Oak Grove Way, Atwater, CA 95301-4081Phone(209) 628-1203FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer