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Kayla Leigh Ashley Perkins

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

5001 Hardy St, Hattiesburg, MS 39402-1308

PECOS Enrollment

This provider is enrolled in PECOS as KAYLA PERKINS.

Based on the most recent information from CMS, provider Kayla Leigh Ashley Perkins is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1558751107
Provider Type
Individual
Full Name
Perkins, Kayla Leigh Ashley
Gender
Female

Sole Proprietor
No
Enumeration Date
2/3/2015
Last Updated
10/12/2015

Contact Information

Practice Location

5001 Hardy St, Hattiesburg, MS 39402-1308

(601) 268-8000

Unlisted Fax

Mailing Location

7100 Highway 98 West, Suite 140, Hattiesburg, MS 39402-8557

(601) 450-8822

(601) 450-8821

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License R879751 Mississippi

Kayla Leigh Ashley Perkins

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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