Individual
DR. KERRI LYNN PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2600 SCRIPTURE ST, DENTON, TX 76201-4315
(940) 243-9759
(940) 483-9550
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(940) 382-1022
(940) 323-1190
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
J0192
TX
2086X0206X
Surgical Oncology Physician
Primary
J0192
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0045HA
BLUE CROSS BLUE SHIELD
TX
05
—
1245557-05
—
TX
05
—
124555706
—
TX
01
—
2606443
AETNA
TX
Enumeration date
03/17/2006
Last updated
03/09/2021
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