Individual
MR. BARRY KEITH PERKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C.
Contact information
Practice address
1009 STONECREST DR, MARYVILLE, TN 37804-3741
(865) 403-9221
Mailing address
1009 STONECREST DR, MARYVILLE, TN 37804-3741
(865) 403-9221
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
137
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009939596
—
AL
05
—
165408089A
—
GA
05
—
3669611
—
TN
01
—
3711721
MEDICARE PTAN
TN
01
—
4017592
BLUE CROSS
TN
01
—
6002362
BLUECROSS BLUESHIELD
TN
01
—
9139914
AETNA
TN
01
—
970015623
RAILROAD MEDICARE
TN
01
—
P01332495
RAILROAD MEDICARE
TN
Enumeration date
06/09/2006
Last updated
12/29/2025
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