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NPI Code Detail

MEDICARE: MRS. DEBRA KAY PERKINS N.P.

MEDICARE: MRS. DEBRA KAY PERKINS N.P.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner71003174AIN

General Provider Information

NPI Number : 1073842563
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DEBRA KAY PERKINS N.P.
Provider Business Mailing Address
First Line : 10330 N MERIDIAN ST
Second Line : SUITE 201
City : INDIANAPOLIS
State : IN
Zip : 46290-1024
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2354 W BOULEVARD
Second Line : SUTIE
City : KOKOMO
State : IN
Zip : 46902-6069
Country : US
Telephone Number : 765-457-4800
Fax Number : 765-454-7686
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2009
Last Update Date : 10/25/2011

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