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
Phone: (606) 526-4070
Fax: (606) 526-4072
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1902945322 | NPPES |
Kentucky | MEDICAID | 7100069560 | |
Kentucky | Other | P01329695 |
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