NPI 1023376456

Pj Persson, Psc

Organisation Surgery Physician Lebanon, KY

Practice location

Address: 312 W High St, Lebanon, KY 40033-1428
Phone: (270) 692-9559
Fax: (270) 692-9236
Mailing address: 602 Golfview Ter, Lebanon, KY 40033-1947

Authorised official

Name: Perjohan Persson
Title: Owner
Phone: (859) 940-0146

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 43219 (KY)

Other Surgery providers in Kentucky →

Registry record

NPI: 1023376456
Entity type: Organization
NPI issued: 23 Apr 2012
Record last updated: 23 Apr 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.