MR. KENNETH DWAYNE PERRY (NPI# 1518081280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518081280 |
| Entity Type | Individual |
| Full Name | MR. KENNETH DWAYNE PERRY |
| Practice Address |
23700 Van Dyke Ave Warren MI 48089-1600 |
| Mailing Address |
58868 Virginia Cir New Haven MI 48048-2797 |
| Practice Telephone | 5867586670 |
| Practice Fax Number | 5867580243 |
| Mailing Telephone | 5867495266 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2009-10-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | M-10161 M | 05 | |
| MI | M-10162 M | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033758685 | Kenneth Roy Perry | Registered Nurse | 127 Cloudhaven Dr, San Antonio, TX 78209-4339 | 2019-12-30 |
| 1154755577 | Kenneth Nolan Perry | Pharmacist | 160 Morgan Way, Mount Shasta, CA 96067-2565 | 2013-08-22 |
| 1063031938 | Kenneth Perry | Student in an Organized Health Care Education/Training Program | 435 N 5th St, Phoenix, AZ 85004-2157 | 2020-04-10 |
| 1376819920 | Kenneth John Perry | Emergency Medicine | 525 E 68th St, New York, NY 10065-4870 | 2012-03-28 |
| 1932355278 | Kenneth J Perry | Emergency Medicine | 750 E Adams St, Syracuse, NY 13210-2342 | 2008-08-18 |
| 1093752297 | Kenneth Giles Perry Jr. | Obstetrics & Gynecology | 501 Marshall St, Suite 601, Jackson, MS 39202-1651 | 2006-05-31 |
| Street Address |
23700 VAN DYKE AVE |
| City | WARREN |
| State | MI |
| Zip Code | 48089-1600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104841287 | David Carl Rimka | Counselor | 23700 Van Dyke Ave, Warren, MI 48089-1669 | 2006-07-12 |
| 1154965978 | Paula Christine Hemphill | Licensed Practical Nurse | 23700 Van Dyke Ave, Warren, MI 48089-1600 | 2019-11-05 |
| 1992086144 | Premier Care Warren | Case Management | 23700 Van Dyke Ave, Warren, MI 48089-1600 | 2011-09-01 |
| 1356621668 | Premier Care Warren | Community/Behavioral Health | 23700 Van Dyke Ave, Warren, MI 48089-1600 | 2011-08-18 |
| 1942592167 | Gena A. Cunningham | Social Worker | 23700 Van Dyke Ave, Suite 130, Warren, MI 48089-1600 | 2011-05-05 |
| 1760636971 | Vinod Kohli Md PC | General Practice | 23700 Van Dyke Ave, Warren, MI 48089-1600 | 2008-11-14 |
| 1437307295 | Belinda Marie Hunter | Social Worker | 23700 Van Dyke Ave, Warren, MI 48089-1600 | 2008-09-05 |
| 1508012212 | Joann Cheryel Brown | Counselor | 23700 Van Dyke Ave, Warren, MI 48089-1600 | 2008-08-13 |
| 1396991097 | Kathryn J Roberts | Counselor | 23700 Van Dyke Ave, Warren, MI 48089-1600 | 2008-08-13 |
| 1558532200 | Raymond Burl Holliman | Clinic/Center | 23700 Van Dyke Ave, Warren, MI 48089-1600 | 2008-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477184414 | Delaine Armstong | Pharmacist | 13488 E. 11 Mile Road, Warren, MI 48089 | 2020-01-29 |
| 1679118236 | Good N Plenty Rx LLC | Pharmacy | 22260 Van Dyke Avenue, Warren, MI 48089 | 2019-11-07 |
| 1508367111 | Meijer, Inc. | Durable Medical Equipment & Medical Supplies | 25225 Schoenherr Rd, Warren, MI 48089 | 2018-02-28 |
| 1932624970 | Jessica D Johnston | Social Worker | 11415 Metter Ave, Warren, MI 48089 | 2017-08-10 |
| 1508222944 | Dinas Kamaitis | Non-emergency Medical Transport (VAN) | 14560 E 10 Mile, 13993 10 Mile, Warren, MI 48089 | 2016-01-14 |
| 1770837296 | Michigan Home Exteriors | Durable Medical Equipment & Medical Supplies | 11444 Kaltz Ave, Warren, MI 48089 | 2012-11-06 |
| 1407100142 | Brenda Tringali | Social Worker | 12220 E 13 Mile, Warren, MI 48089 | 2012-11-02 |
| 1154606838 | Binary Therapy Alliance,inc | Home Health | 26105 Regency Club Lane, 8, Warren, MI 48089 | 2011-10-13 |
| 1396920443 | Ron Zachariah | Physical Therapist | Horizon Medical Building, 13251 E Ten Mile Road Suite 400, Warren, MI 48089 | 2008-01-08 |
| 1053500173 | Anemaecore Abadejos Brodith | Physical Therapist | 26000 Hoover Rd Ste 101, Warren, MI 48089 | 2007-10-15 |
| Find all providers in zip 48089 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932747888 | Open Water Counseling and Recovery, LLC | Counselor | 1725 Drexel Ave Nw, Warren, OH 44485-2121 | 2019-12-11 |
| 1124663935 | A Restored Outlook LLC | Counselor | 8287 Linda St, Warren, MI 48093-2838 | 2019-11-15 |
| 1063075356 | Just Ask and I'll Help Mental Health Services | Counselor | 29648 City Center Dr Apt 3, Warren, MI 48093-2415 | 2019-04-22 |
| 1598273963 | Luke Charles Metcalf | Counselor | 1212 Tod Pl Nw, Warren, OH 44485-2475 | 2018-01-18 |
| 1518405018 | Rachel Soroka | Counselor | 160 Clifton Dr Ne, Warren, OH 44484-1820 | 2017-02-03 |
| 1538528534 | Joseph Burger | Counselor | 13520 Dominic Dr, Warren, MI 48088-1817 | 2016-02-18 |
| 1164890224 | Lashella Savage | Counselor | 14160 E 14 Mile Rd, Warren, MI 48088-5701 | 2015-09-07 |
| 1053728030 | Jane Kennedy Bays | Counselor | 30521 Schoenherr Rd Ste 200, Warren, MI 48088 | 2014-07-22 |
| 1073851044 | Michael Andrew Perkins | Counselor | 21760 Logue Ave, Warren, MI 48091-2352 | 2013-01-24 |
| 1194069245 | Latina Marie Johnson | Counselor | 29192 Aline Dr, Warren, MI 48093-2691 | 2012-11-15 |
| Find all providers in WARREN | ||||
Please comment or provide details below to improve the information on MR. KENNETH DWAYNE PERRY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.