Individual
DR. JACOB E PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
425 CLINIC DR, MOREHEAD, KY 40351-1077
(606) 784-7551
(606) 784-1184
Mailing address
425 CLINIC DR, MOREHEAD, KY 40351-1077
(606) 784-7551
(606) 784-1184
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
44487
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44487
STATE LICENSE
KY
05
—
7100164220
—
KY
Enumeration date
10/07/2008
Last updated
03/03/2016
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