Provider Demographics
NPI:1184434128
Name:PERKINS, KEVIN JR (BACHELOR'S DEGREE)
Entity type:Individual
Prefix:MR
First Name:KEVIN
Middle Name:
Last Name:PERKINS
Suffix:JR
Gender:M
Credentials:BACHELOR'S DEGREE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1740 E 238TH ST
Mailing Address - Street 2:
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44117-1959
Mailing Address - Country:US
Mailing Address - Phone:216-551-6134
Mailing Address - Fax:
Practice Address - Street 1:1740 E 238TH ST
Practice Address - Street 2:
Practice Address - City:EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44117-1959
Practice Address - Country:US
Practice Address - Phone:216-551-6134
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-11
Last Update Date:2025-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker