Healthcare Provider Details

I. General information

NPI: 1760493480
Provider Name (Legal Business Name): CHERYL LYNN PERKINS APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4801 E LINWOOD BLVD RESEARCH #151
KANSAS CITY MO
64128-2226
US

IV. Provider business mailing address

319 NE WARRINGTON CT
LEES SUMMIT MO
64064-1605
US

V. Phone/Fax

Practice location:
  • Phone: 816-861-4700
  • Fax: 816-861-1110
Mailing address:
  • Phone: 816-861-4700
  • Fax: 816-861-1110

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number74634
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: