Provider Demographics
NPI:1730859174
Name:PERKINS, KATHRYN ANN (AUD)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:ANN
Last Name:PERKINS
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 W 25TH ST FL 3
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-2085
Mailing Address - Country:US
Mailing Address - Phone:800-854-2772
Mailing Address - Fax:
Practice Address - Street 1:243 W HILLSIDE AVE # A
Practice Address - Street 2:
Practice Address - City:BARRINGTON
Practice Address - State:IL
Practice Address - Zip Code:60010-4222
Practice Address - Country:US
Practice Address - Phone:224-633-3481
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-16
Last Update Date:2021-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL147.001262231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist