Individual
KEITH PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16515 CEDAR CORNERS RD, BRIDGEVILLE, DE 19933-4148
(302) 841-1514
Mailing address
16515 CEDAR CORNERS RD, BRIDGEVILLE, DE 19933-4148
(302) 841-1514
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L2-0012353
DE
Other
Enumeration date
02/07/2015
Last updated
02/07/2015
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