Individual
DR. KENNETH GILES PERRY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 MARSHALL ST, SUITE 601, JACKSON, MS 39202-1651
(601) 948-6540
(601) 326-1501
Mailing address
501 MARSHALL ST, SUITE 505, JACKSON, MS 39202-1651
(601) 326-0505
(601) 326-0515
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
10729
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0120176
—
MS
01
—
4241432
AETNA
MS
Enumeration date
05/31/2006
Last updated
07/08/2007
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