Individual
DR. KENNETH LEON PERKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD0001030
TN
152W00000X
Optometrist
OPT001085
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0068706
BLUECROSS BLUESHIEL OF TN
TN
01
—
702024767
CARITEN
TN
Enumeration date
01/08/2007
Last updated
02/27/2012
Update your record
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