Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
MR. KEVIN WOODSON PERRIS
Active
Individual
MR. KEVIN WOODSON PERRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
002197
PA
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
10071
OH
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
20117
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002987
WV STATE LICENSE
WV
01
—
020117
PA STATE LICENSE
PA
Enumeration date
06/18/2007
Last updated
10/05/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up