Doctor Name: | DR. KAREN ANN PERRY |
NPI Number: | 1033198056 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | N7848 |
Business Practice Address: | 1690 Polk 67 Mena, AR - 719537715 |
Business Phone Number: | 4793941600 |
Business Fax Number: | 4793941606 |
Mailing Address: | 300 Crestwood Cir, MENA |
State: | AR |
Postal Code: | 719535515 |
Phone Number: | 4793941600 |
Fax Number: | 4793941606 |
NPI Enumeration Date: | 01/10/2006 |
NPI Last Update Date: | 01/13/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | N7848 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |