Provider Demographics
NPI:1356658488
Name:PERKEY, STEPHEN MATTHEW (CNP)
Entity type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:MATTHEW
Last Name:PERKEY
Suffix:
Gender:
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 ORCHARD DR
Mailing Address - Street 2:
Mailing Address - City:SOUTH POINT
Mailing Address - State:OH
Mailing Address - Zip Code:45680-8406
Mailing Address - Country:US
Mailing Address - Phone:740-861-1926
Mailing Address - Fax:
Practice Address - Street 1:57 DORA LN
Practice Address - Street 2:
Practice Address - City:GREENUP
Practice Address - State:KY
Practice Address - Zip Code:41144-1187
Practice Address - Country:US
Practice Address - Phone:866-233-1955
Practice Address - Fax:740-894-5406
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-10
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA.14610-NP363LF0000X
WV102732363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily