# PERRY FAMILY MEDICAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609148329
- **Authorized official:** DR. JAMIE T PERRY MD (OWNER)
- **Authorized official phone:** (270) 365-9455

## Contact information

- **Practice address:** 605 S JEFFERSON ST, PRINCETON, KY 42445-2173
- **Practice address phone:** (270) 365-9455
- **Practice address fax:** (270) 365-9456
- **Mailing address:** PO BOX 9150, PADUCAH, KY 42002-9150
- **Mailing address phone:** (270) 744-9600
- **Mailing address fax:** (270) 744-0834

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 41202 | KY | Yes |
| 363L00000X | Nurse Practitioner | 3002951 | KY | — |

## Other

- **Enumeration date:** 01/27/2012
- **Last updated:** 09/20/2012