Individual
PERRY DAVIS BABCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
106 WINSTON WAY, CAMPBELLSVILLE, KY 42718-4953
(270) 789-0034
(616) 582-3149
Mailing address
121 WATSON CT, CAMPBELLSVILLE, KY 42718-9752
(616) 610-0442
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1174972
KY
363LF0000X
Family Nurse Practitioner
F02190895
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100769310
—
KY
Enumeration date
03/28/2019
Last updated
11/09/2022
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