Individual
OSCAR O PEREZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
405 VIOLET RD, CRITTENDEN, KY 41030-8956
(859) 903-0268
(859) 428-1444
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 903-0268
(859) 428-1444
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
02005323A
IN
207Q00000X
Family Medicine Physician
Primary
02598
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0179313
—
OH
05
—
64025947
—
KY
01
—
P01721100
RR MEDICARE
KY
Enumeration date
08/18/2006
Last updated
11/04/2022
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