Individual
MR. KEVIN MAURICE PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T., ATC
Contact information
Practice address
2270 N PERKINS RD, STILLWATER, OK 74075-3078
(405) 780-9919
(405) 780-9920
Mailing address
2270 N PERKINS RD, STILLWATER, OK 74075-3078
(405) 780-9919
(405) 780-9920
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT1799
OK
Other
Enumeration date
04/19/2007
Last updated
02/13/2012
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