Kenneth G.Perry Jr., M.D P.a

Primary specialty

Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X

License

10729 Issued in MS

Legal business name

KENNETH G.PERRY JR., M.D P.A

Practice address

501 Marshall St
Ste 505
Jackson, MS 39202-1651

Phone

(601) 944-1717

NPI assigned

Dec 28, 2006

Last updated

Dec 14, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nicole Younkins

Title

Quality Assurance

Phone

(601) 944-1717

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197590400000",
    "number": "1316003114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24023",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392254023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MARSHALL ST",
            "address_2": "STE 505",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392021651",
            "telephone_number": "601-944-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH G.PERRY JR., M.D P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2007-12-14",
        "status": "A",
        "authorized_official_last_name": "YOUNKINS",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "QUALITY ASSURANCE",
        "authorized_official_telephone_number": "601-944-1717"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "MS",
            "license": "10729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02433841",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mason Kennedy
• Ronald Kennedy, M.D.
• Sara Michael Kennedy, FNP-C
• Tedi Kennedy, NP
• Kenneth a. Bailey, Jr. DDS PA (Jackson Dental Clinic)
• Jamesia Kenney
• Heather D Kent, LPC
• Lindsey Fontaine Kent, M.D.
• Elizabeth Allen Kerby
• Jolie Glassman Kerenick, LCSW

• Maternal & Fetal Medicine Physician in Jackson, MS
• Providers in Jackson, MS by specialty
• Maternal & Fetal Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.