Individual
MR. EVERARDO LOPEZ PERNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA, CSA
Contact information
Practice address
4001 KRESGE WAY STE 200, LOUISVILLE, KY 40207-4640
(502) 895-1995
(502) 895-6479
Mailing address
129 ARBOR GLEN CT, MOUNT WASHINGTON, KY 40047-5861
(786) 461-9972
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
SA342
KY
363AS0400X
Surgical Physician Assistant
2618
PR
Other
Enumeration date
01/09/2020
Last updated
02/05/2026
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