Individual
KEITH PERRINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5250 FAR HILLS AVE, 110, DAYTON, OH 45429-2382
(937) 432-9810
(937) 432-9815
Mailing address
5250 FAR HILLS AVE, 110, DAYTON, OH 45429-2382
(937) 432-9810
(937) 432-9815
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
35.051583
OH
208200000X
Plastic Surgery Physician
ME84583
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
263826600
—
FL
Enumeration date
08/30/2006
Last updated
10/01/2012
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