person
Paul Christen Pedersen, MD
General Practice Physician in Barbourville, Kentucky
NPI 1003892720

Paul Christen Pedersen is a General Practice Physician based in Corbin, KY. Paul Christen Pedersen practices in Barbourville, KY and has the professional credentials of MD. The NPI Number for Paul Christen Pedersen is 1003892720 and holds a License No. 31705 (Kentucky).

The current practice location address for Paul Christen Pedersen is 602 Knox St, Barbourville, KY and can be reached out via phone at 606-546-6027 and via fax at 606-546-2084.

Location: 602 Knox St, Barbourville, KY, 40702-1325
person
Provider Profile Details
NPI Number
1003892720
Provider Name
Paul Christen Pedersen
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
602 Knox St, Barbourville, KY, 40702-1325
Phone Number
606-546-6027
Fax Number
606-546-2084
Provider Enumeration Date
12/15/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
64317050 05 KY
P01427263 01 KY RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
602 Knox St
City
State
Zip
40906-1304
Phone Number
606-546-6027
Fax Number
606-546-2084
person
Provider Business Mailing Address Details
Address
602 Knox St
City
State
Zip
40906-1304
Phone Number
606-546-6027
Fax Number
606-546-2084
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
31705 (Kentucky)
Definition
Definition to come...
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