Individual
HOOVER A PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10 NORTH HWY 27, WHITLEY CITY, KY 42653
(606) 376-5363
(606) 376-9919
Mailing address
PO BOX 249, WHITLEY CITY, KY 42653
(606) 376-5363
(606) 376-9919
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
12494
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
163084700
FEDERAL BLACK LUNG
KY
01
—
1649236613
CHAMPVA
KY
05
—
1649236613
—
KY
Enumeration date
04/26/2006
Last updated
06/13/2018
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