Individual
KATHLEEN MARY PERKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
809 W DRYDEN RD, METAMORA, MI 48455-8961
(810) 678-4000
(810) 678-4077
Mailing address
809 W DRYDEN RD, METAMORA, MI 48455-8961
(810) 678-4000
(810) 678-4077
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101016777
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5101016777
PHYSICIAN LICENSE
MI
01
—
5315026333
CONTROLLED SUBSTANCE LIC
MI
Enumeration date
05/24/2007
Last updated
03/07/2023
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