Whalio Doctors

NPI 1164570230

Kenneth Leon Perkins, OD

Practitioner Optometrist Hixson, TN

Practice location

Address
5407 Hixson Pike Suite 121, Hixson, TN 37343-4559
Phone
(423) 842-1050
Fax
(423) 842-7246
Mailing address
435 Valleybrook Rd, Hixson, TN 37343-3067

Registered specialties (2)

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence OD0001030 (TN)
Optometrist
Eye and Vision Services Providers Taxonomy 152W00000X Licence OPT001085 (GA)

Registry record

NPI
1164570230
Entity type
Individual
Sex (as registered)
Male
NPI issued
8 Jan 2007
Record last updated
27 Feb 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.