Persky, Kathleen Marie

Persky, Kathleen Marie is an sole proprietor health care provider with primary practice located at 246 Hospital Dr , Ukiah CA 95482-4533. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Persky, Kathleen Marie can be contacted via phone (707) 463-8011.

Contact Information

Primary practice address
246 Hospital Dr Ukiah CA 95482-4533
Phone: (707) 463-8011
Fax: (707) 463-8044
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 00G566600 California
Allopathic & Osteopathic Physicians / General Practice 208D00000X 00G566600 California

Profile Details

NPI number 1952309288
LBN Legal business name Persky, Kathleen Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2005
Last updated Jun 14th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952309288 NPPES
California MEDICAID 00G566600

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