Individual
MICAH PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1623 13TH AVE, HUNTINGTON, WV 25701-3845
(304) 526-2243
Mailing address
1448 10TH AVE STE 304, HUNTINGTON, WV 25701-3579
(304) 733-8728
(304) 691-8591
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
83402
WV
363L00000X
Nurse Practitioner
114398
WV
363LF0000X
Family Nurse Practitioner
Primary
114398
WV
Other
Enumeration date
09/12/2022
Last updated
02/13/2026
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