Kyle Perry

Individual provider Active NPI Registered Nurse · Bridgeville, DE

NPI 1386036036 · NPPES record last updated Mar 3, 2015

Key facts

NPI
1386036036
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
L1-0043598 (DE)
Practice address
16515 Cedar Corners Rd
Bridgeville, DE 19933-4148
Phone
(302) 841-1515
NPI assigned
Mar 3, 2015
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
L1-0043598DEMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X L1-0043598 DE Yes

Addresses

Primary practice location

16515 Cedar Corners Rd
Bridgeville, DE 19933-4148

Mailing address

16515 Cedar Corners Rd
Bridgeville, DE 19933-4148

Other providers in Bridgeville, DE

All providers in Bridgeville, DE · Registered Nurse in Delaware

Sources for this page

Verify at the official NPI Registry.