Perry, Brenda

Perry, Brenda is an individual health care provider with primary practice located at 60 Professional Park Dr , Louisa KY 41230-9644. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Perry, Brenda can be contacted via phone (606) 638-4332.

Contact Information

Primary practice address
60 Professional Park Dr Louisa KY 41230-9644
Phone: (606) 638-4332
Fax: (606) 638-4394
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1821135633
LBN Legal business name Perry, Brenda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2007
Last updated Jul 8th, 2007 - about 17 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 1821135633 NPPES
Kentucky MEDICAID 30610026

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