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Contact Information

KENNETH G.PERRY JR., M.D P.A
501 MARSHALL ST
STE 505
JACKSON, MS39202-1651
 Phone: 601-944-1717
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Maternal & Fetal Medicine

207VM0101X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for KENNETH GPERRY JR MD PA · (Female)

NPI # 1316003114
Status Active
Credentials
Entity Individual
Enumeration date 12/28/2006
Last updated 12/14/2007 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • MS License # 10729
  • MS Medicaid 02433841
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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