Provider Demographics
NPI:1659073187
Name:PERRY, ALISHA KAR
Entity Type:Individual
Prefix:
First Name:ALISHA
Middle Name:KAR
Last Name:PERRY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 SCOTT AVE
Mailing Address - Street 2:
Mailing Address - City:IRONTON
Mailing Address - State:OH
Mailing Address - Zip Code:45638-2530
Mailing Address - Country:US
Mailing Address - Phone:740-307-0101
Mailing Address - Fax:
Practice Address - Street 1:104 SCOTT AVE
Practice Address - Street 2:
Practice Address - City:IRONTON
Practice Address - State:OH
Practice Address - Zip Code:45638-2530
Practice Address - Country:US
Practice Address - Phone:740-307-0101
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-20
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant