Provider Demographics
NPI:1669424578
Name:PERKINS, DON L (MD)
Entity type:Individual
Prefix:DR
First Name:DON
Middle Name:L
Last Name:PERKINS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1724 KENTON ST
Mailing Address - Street 2:SUITE 2 A
Mailing Address - City:HOPKINSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42240-1981
Mailing Address - Country:US
Mailing Address - Phone:270-885-2091
Mailing Address - Fax:270-885-2094
Practice Address - Street 1:1724 KENTON ST
Practice Address - Street 2:SUITE 2 A
Practice Address - City:HOPKINSVILLE
Practice Address - State:KY
Practice Address - Zip Code:42240-1981
Practice Address - Country:US
Practice Address - Phone:270-885-2091
Practice Address - Fax:270-885-2094
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-17
Last Update Date:2015-03-30
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Provider Licenses
StateLicense IDTaxonomies
KY26022207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64260227Medicaid
KY64260227Medicaid
KY1472101Medicare ID - Type Unspecified