Individual
KEVIN DALE PERDUE
Active
Individual
KEVIN DALE PERDUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD2006-0520
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10027150
LOVELACE
NM
05
—
124003
—
AZ
05
—
56238835
—
NM
01
—
NM001H96
BCBS
NM
01
—
QMYPR0072225
MOLINA
NM
Enumeration date
07/21/2006
Last updated
07/09/2007
Update your record
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