Individual
KELLEE EUGENE PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
606 E GRANT ST, MARION, IN 46952-2950
(765) 251-3987
Mailing address
606 E GRANT ST, MARION, IN 46952-2950
(765) 251-3987
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2021185176
IN
363LF0000X
Family Nurse Practitioner
Primary
71012102A
IN
Other
Enumeration date
01/23/2022
Last updated
09/22/2022
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