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Individual

KENNETH JOHN PERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(212) 746-5026
Mailing address
9330 MEDICAL PLAZA DR, NORTH CHARLESTON, SC 29406-9104
(843) 797-7000

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
39219
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2199757
LA
Enumeration date
03/28/2012
Last updated
01/30/2017
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