Individual
DR. PAUL J JANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7370 TURFWAY ROAD, SUITE 280, FLORENCE, KY 41042
(859) 212-4567
Mailing address
7370 TURFWAY ROAD, SUITE 280, FLORENCE, KY 41042
(859) 212-4567
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
K18863
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64188634
—
KY
Enumeration date
03/24/2006
Last updated
10/28/2014
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