Individual
JAMI T PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
215 E MAIN ST, PROVIDENCE, KY 42450-1261
(270) 667-7017
(270) 667-9065
Mailing address
PO BOX 37, PROVIDENCE, KY 42450-0037
(270) 667-7017
(270) 667-9065
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
41202
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41202
KY STATE LICENCE
KY
Enumeration date
11/16/2006
Last updated
03/02/2018
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