| Alfred L.perkins, Psc | |
|
4010 Dupont Cir Suite 226 Louisville KY 40207-4812 | |
| (502) 592-0992 | |
| (502) 896-8055 |
| Full Name | Alfred L.perkins, Psc |
|---|---|
| Speciality | Social Worker |
| Location | 4010 Dupont Cir, Louisville, Kentucky |
| Authorized Official Name and Position | Alfred Lamont Perkins (PRESIDENT) |
| Authorized Official Contact | 5025920992 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alfred L.perkins, Psc 4010 Dupont Cir Suite 226 Louisville KY 40207-4812 Ph: (502) 592-0992 | Alfred L.perkins, Psc 4010 Dupont Cir Suite 226 Louisville KY 40207-4812 Ph: (502) 592-0992 |
| NPI Number | 1326430182 |
|---|---|
| Provider Enumeration Date | 03/03/2015 |
| Last Update Date | 03/03/2015 |
| Medicare PECOS PAC ID | 0941502967 |
|---|---|
| Medicare Enrollment ID | O20160107003215 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326430182 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0827 (Kentucky) | Primary |
| Provider Name | Alfred L Perkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508923293 PECOS PAC ID: 7113229139 Enrollment ID: I20160107003251 |
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