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NPI Code Detail

MEDICARE: KELCEY ELAINE PERKINS PSYD

MEDICARE: KELCEY ELAINE PERKINS PSYD
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
1103T00000XPsychologist

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
4Q56841OTHERMEDICARE FFS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1780118851
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELCEY ELAINE PERKINS PSYD
Provider Business Mailing Address
First Line : 2585 3RD AVE
Second Line :
City : HUNTINGTON
State : WV
Zip : 25703-1642
Country : US
Telephone Number : 304-697-1396
Fax Number : 304-697-2086
Provider Business Practice Location Address
First Line : 1 HARBOUR WAY
Second Line :
City : MILTON
State : WV
Zip : 25541-1545
Country : US
Telephone Number : 304-781-5050
Fax Number : 304-781-5051
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2017
Last Update Date : 07/16/2024

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Directions to “ KELCEY ELAINE PERKINS PSYD” Practice Location

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