Individual
DR. KATHLEEN MARIE PERSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
246 HOSPITAL DR, UKIAH, CA 95482-4533
(707) 463-8011
(707) 463-8044
Mailing address
PO BOX 2739, UKIAH, CA 95482-2739
(707) 463-8000
(707) 462-1111
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
00G566600
CA
208D00000X
General Practice Physician
00G566600
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G566600
—
CA
Enumeration date
07/11/2005
Last updated
06/14/2011
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