Keith Perry
Individual provider Active NPI Licensed Practical Nurse · Bridgeville, DE
NPI 1487045878 · NPPES record last updated Feb 7, 2015
Key facts
- NPI
- 1487045878
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- L2-0012353 (DE)
- Practice address
- 16515 Cedar Corners Rd
Bridgeville, DE 19933-4148 - Phone
- (302) 841-1514
- NPI assigned
- Feb 7, 2015
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L2-0012353 | DE | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | L2-0012353 | DE | Yes |
Addresses
Primary practice location
16515 Cedar Corners Rd
Bridgeville, DE 19933-4148
Mailing address
16515 Cedar Corners Rd
Bridgeville, DE 19933-4148
Phone (302) 841-1514
Other providers in Bridgeville, DE
- Jesse Miller
- Christina Marie Mohammed
- Brittany Nunes
- Sandra Mariela Palavecino
- Jae Park
- Kyle Perry
- Logan Brooke Rash
- Rishika LLC
- Julie M Rivera
- Cheryl Roach
All providers in Bridgeville, DE · Licensed Practical Nurse in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.