Individual
MR. MICHAEL KENT PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
8031 W CENTER RD, SUITE 226, OMAHA, NE 68124-3134
(402) 391-8978
(402) 391-8979
Mailing address
13811 CHARLES ST, OMAHA, NE 68154-3883
(402) 492-8544
(402) 391-8979
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
100507
NE
367500000X
Certified Registered Nurse Anesthetist
D-067145
IA
Other
Enumeration date
10/06/2006
Last updated
04/19/2012
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