Provider Demographics
NPI:1205362001
Name:PERRY, JULIE (ARRT(R)(M),RVT)
Entity type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:
Last Name:PERRY
Suffix:
Gender:F
Credentials:ARRT(R)(M),RVT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:324 WATER CLIFF DR
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:KY
Mailing Address - Zip Code:42503-5390
Mailing Address - Country:US
Mailing Address - Phone:606-219-1074
Mailing Address - Fax:
Practice Address - Street 1:324 WATER CLIFF DR
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:KY
Practice Address - Zip Code:42503-5390
Practice Address - Country:US
Practice Address - Phone:606-219-1074
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-11
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY10-100118552471V0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471V0105XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistVascular Sonography