Kevin Michael Pernicano PHD ABPP

NPI 1083663835 - Psychologist - 103TC0700X

NPI Details
NPI 1083663835
Gender Male
Enumeration Date 05/09/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
800 ZORN AVE
MH&BSS (116)
LOUISVILLE KY, 40206-1433, US
Phone (502) 287-5915
Fax (502) 287-6892
Business Location
4006 MANNER DALE DR
LOUISVILLE KY, 40220-3073, US
Phone (502) 671-0177
Fax (502) 491-5642
Toxanomy
Taxonomy Code 103TC0700X
License State Kentucky
License Number 0646
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According to our database, Dr. Kevin Michael Pernicano PHD ABPP NPI is 1083663835, taxonomy code is 103TC0700X and license number is 0646, license state is located at Kentucky. Kevin Michael Pernicano PHD ABPP physically located at 800 Zorn Ave, Louisville KY, 40206-1433. NPI Number Kevin Michael Pernicano PHD ABPP has the Individual type.

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1083663835 NPI number is provided on an as is basis without warranty of any kind. 1083663835 is maintained by the National Plan & Provider Enumeration System. The contents of Kevin Michael Pernicano PHD ABPP are for informational purposes only.