Individual
KIRK D PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 N TILLOTSON AVE, MUNCIE, IN 47304-3988
(765) 747-3858
(765) 747-3859
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
01045379
IN
208000000X
Pediatrics Physician
Primary
01045379A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200182660
—
IN
Enumeration date
02/15/2006
Last updated
06/11/2025
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