Individual
KECIA MCGOWEN PERKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
75 WISCONSIN LOOP, PASCAGOULA, MS 39568
(228) 935-8861
(228) 935-0161
Mailing address
214 BAY POINT PL, GAUTIER, MS 39553-6244
(228) 218-2412
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2854
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT2854
PRIVATE INSURANCE
MS
Enumeration date
02/10/2020
Last updated
02/10/2020
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