Individual
KIMBERLY PERKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
1128 N LAURA ST, JACKSONVILLE, FL 32206-4912
(904) 355-3403
(904) 355-4149
Mailing address
1128 N LAURA ST, JACKSONVILLE, FL 32206-4912
(904) 355-3403
(904) 355-4149
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AY1734
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011817500
—
FL
01
—
05700224
BLUE CROSS BLUE SHIELD
—
01
—
147-000679
STATE LICENSE #
IL
Enumeration date
08/21/2006
Last updated
01/05/2015
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