Individual
KELLEY I PERKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
511 N HIGHWAY 52, MONCKS CORNER, SC 29461-3132
(843) 482-0028
Mailing address
4740 OHEAR AVE, NORTH CHARLESTON, SC 29405-4935
(843) 535-8080
(843) 535-8081
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
50-01392
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D13929
—
SC
Enumeration date
09/15/2006
Last updated
06/20/2019
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