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NPI Code Detail

MEDICARE: JAMI T PERRY MD

MEDICARE:   JAMI T PERRY  MD
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
1207Q00000XFamily Medicine Physician41202KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
141202OTHERKYKY STATE LICENCE

General Provider Information

NPI Number : 1710050729
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMI T PERRY MD
Provider Business Mailing Address
First Line : PO BOX 37
Second Line :
City : PROVIDENCE
State : KY
Zip : 42450-0037
Country : US
Telephone Number : 270-667-7017
Fax Number : 270-667-9065
Provider Business Practice Location Address
First Line : 215 E MAIN ST
Second Line :
City : PROVIDENCE
State : KY
Zip : 42450-1261
Country : US
Telephone Number : 270-667-7017
Fax Number : 270-667-9065
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2006
Last Update Date : 03/02/2018

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Directions to “ JAMI T PERRY MD” Practice Location

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