Provider Demographics
NPI:1700452208
Name:PERKINS, KAITLYN (DO)
Entity type:Individual
Prefix:DR
First Name:KAITLYN
Middle Name:
Last Name:PERKINS
Suffix:
Gender:F
Credentials:DO
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Other - Credentials:
Mailing Address - Street 1:24 FRANK LLOYD WRIGHT DRIVE
Mailing Address - Street 2:SUITE J2000
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105
Mailing Address - Country:US
Mailing Address - Phone:734-747-6766
Mailing Address - Fax:734-222-3100
Practice Address - Street 1:THIMG PRIMARY CARE-PLYMOUT
Practice Address - Street 2:900 W. ANN ARBOR TRAIL SUITE 208
Practice Address - City:PLYMOUTH
Practice Address - State:MI
Practice Address - Zip Code:48170
Practice Address - Country:US
Practice Address - Phone:734-455-1200
Practice Address - Fax:734-455-5219
Is Sole Proprietor?:No
Enumeration Date:2021-06-03
Last Update Date:2024-07-11
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Provider Licenses
StateLicense IDTaxonomies
MI5101027946207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine