| Doctor Name: | PAUL CHRISTEN PEDERSEN |
| NPI Number: | 1003892720 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 31705 |
| Business Practice Address: | 602 Knox St Barbourville, KY - 409061304 |
| Business Phone Number: | 6065466027 |
| Business Fax Number: | 6065462084 |
| Mailing Address: | Po Box 1325, CORBIN |
| State: | KY |
| Postal Code: | 407021325 |
| Phone Number: | 6065268131 |
| Fax Number: | 6065288661 |
| NPI Enumeration Date: | 12/15/2005 |
| NPI Last Update Date: | 02/05/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 31705 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |