Individual
KIMBERLY J PERKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
15 ENTERPRISE DR, STE 100, AUGUSTA, ME 04330-7894
(207) 621-8700
(207) 621-8701
Mailing address
15 ENTERPRISE DR, STE 100, AUGUSTA, ME 04330-7894
(207) 621-8700
(207) 621-8701
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA001234
ME
363AS0400X
Surgical Physician Assistant
Primary
PA001234
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851607626
—
ME
Enumeration date
08/31/2010
Last updated
08/31/2011
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