Perkins, Kenneth Leon

Perkins, Kenneth Leon is an sole proprietor health care provider with primary practice located at 5407 Hixson Pike Suite 121, Hixson TN 37343-4559. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Perkins, Kenneth Leon can be contacted via phone (423) 842-1050.

Contact Information

Primary practice address
5407 Hixson Pike Suite 121 Hixson TN 37343-4559
Phone: (423) 842-1050
Fax: (423) 842-7246
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OD0001030 Tennessee
Eye and Vision Services Providers / Optometrist 152W00000X OPT001085 Georgia

Profile Details

NPI number 1164570230
LBN Legal business name Perkins, Kenneth Leon
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 8th, 2007
Last updated Feb 27th, 2012 - about 12 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 1164570230 NPPES
Tennessee Other 0068706 BLUECROSS BLUESHIEL OF TN
Tennessee Other 702024767 BLUECROSS BLUESHIEL OF TN

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