Individual
KAYLA MARIE PERSCHBACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1527 COLLEGE DRIVE, MT. CARMEL, IL 62863
(618) 263-6400
Mailing address
19041 FENWICK LN, EVANSVILLE, IN 47725-7803
(812) 632-0959
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.006014
IL
Other
Enumeration date
10/10/2016
Last updated
05/24/2021
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