Provider Demographics
NPI:1225152226
Name:PERRY, HELEN KAY (BS,PSC)
Entity Type:Individual
Prefix:MRS
First Name:HELEN
Middle Name:KAY
Last Name:PERRY
Suffix:
Gender:F
Credentials:BS,PSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1249 STATE ROUTE 339 E
Mailing Address - Street 2:
Mailing Address - City:SEDALIA
Mailing Address - State:KY
Mailing Address - Zip Code:42079-9018
Mailing Address - Country:US
Mailing Address - Phone:270-328-8722
Mailing Address - Fax:270-328-8622
Practice Address - Street 1:1249 STATE ROUTE 339 E
Practice Address - Street 2:
Practice Address - City:SEDALIA
Practice Address - State:KY
Practice Address - Zip Code:42079-9018
Practice Address - Country:US
Practice Address - Phone:270-328-8722
Practice Address - Fax:270-328-8622
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1096171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY1096Other1ST STEPS ID # 1096