Perris, Kevin Woodson

Perris, Kevin Woodson is an individual health care provider with primary practice located at 900 Wildflower Cir Ste 903 , Washington PA 15301-9782. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Perris, Kevin Woodson can be contacted via phone (724) 416-7172.

Contact Information

Primary practice address
900 Wildflower Cir Ste 903 Washington PA 15301-9782
Fax: (724) 416-3037
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 002197 Pennsylvania
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 10071 Ohio
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 20117 Pennsylvania

Profile Details

NPI number 1972708295
LBN Legal business name Perris, Kevin Woodson
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2007
Last updated Oct 5th, 2021 - about 4 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 1972708295 NPPES
West Virginia Other 002987 WV STATE LICENSE
West Virginia Other 020117 WV STATE LICENSE

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