Organization
PJ PERSSON, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PERJOHAN PERSSON MD (OWNER)
(859) 940-0146
Entity
Organization
Contact information
Practice address
312 W HIGH ST, LEBANON, KY 40033-1428
(270) 692-9559
(270) 692-9236
Mailing address
602 GOLFVIEW TER, LEBANON, KY 40033-1947
(270) 692-9559
(270) 692-9236
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
43219
KY
Other
Enumeration date
04/23/2012
Last updated
04/23/2012
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