Perkins, Jimmye Shannon

Perkins, Jimmye Shannon is an sole proprietor health care provider with primary practice located at 2 Trillium Way Suite 306, Corbin KY 40701-8490. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Perkins, Jimmye Shannon can be contacted via phone (606) 526-4070.

Contact Information

Primary practice address
2 Trillium Way Suite 306 Corbin KY 40701-8490
Fax: (606) 526-4072
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 41595 Kentucky
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 41595 Kentucky

Profile Details

NPI number 1902945322
LBN Legal business name Perkins, Jimmye Shannon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 5th, 2007
Last updated Dec 7th, 2020 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902945322 NPPES
Kentucky MEDICAID 7100069560
Kentucky Other P01329695

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