Perkins, Kelley I
Perkins, Kelley I is an sole proprietor health care provider with primary practice located at 511 N Highway 52 , Moncks Corner SC 29461-3132. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Perkins, Kelley I can be contacted via phone (843) 482-0028.Contact Information
Primary practice address
511 N Highway 52
Moncks Corner SC 29461-3132
Phone: (843) 482-0028
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 50-01392 | South Carolina |
Profile Details
| NPI number | 1588760995 |
|---|---|
| LBN Legal business name | Perkins, Kelley I |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 15th, 2006 |
| Last updated | Jun 20th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588760995 | NPPES |
| South Carolina | MEDICAID | D13929 |
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