Individual
DR. KENNETH LEON PERKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5407 HIXSON PIKE, SUITE 121, HIXSON, TN 37343-4559
(423) 842-1050
(423) 842-7246
Mailing address
435 VALLEYBROOK RD, HIXSON, TN 37343-3067
(423) 842-1050
(423) 842-7246
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
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