Kelley I Perkins, OD Valid NPI

Individual provider · Optometrist · Moncks Corner, SC

NPI

1588760995

Type

Individual (Type 1)

Primary specialty

Optometrist

Specialty group

Eye and Vision Services Providers

Taxonomy code

152W00000X

License number

50-01392 (SC)

Sex

Male

Sole proprietor

Yes

Enumerated

2006-09-15

Last updated

2019-06-20