Individual
JOHNATHAN R PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6703 W RIO GRANDE AVE, KENNEWICK, WA 99336-2623
(509) 460-5588
(509) 783-5438
Mailing address
6703 W RIO GRANDE AVE, KENNEWICK, WA 99336-2623
(509) 460-5588
(509) 783-5438
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD00034127
WA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
MD00034127
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
246488
LABOR & INDUSTRIES
—
05
—
8403784
—
WA
01
—
P00815483
RR MEDICARE
WA
Enumeration date
11/11/2005
Last updated
07/16/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us