Healthcare Provider Details
I. General information
NPI: 1326202391
Provider Name (Legal Business Name): KATHERINE MARY PERSCKY DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/17/2008
Last Update Date: 05/15/2025
Certification Date: 05/15/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1941 LIMESTONE RD STE 101
WILMINGTON DE
19808-5413
US
IV. Provider business mailing address
1941 LIMESTONE RD STE 101
WILMINGTON DE
19808-5413
US
V. Phone/Fax
- Phone: 302-655-9494
- Fax: 302-691-1478
- Phone: 302-633-3555
- Fax: 302-999-8645
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 213ES0103X |
| Taxonomy | Foot & Ankle Surgery Podiatrist |
| License Number | E1-0000206 |
| License Number State | DE |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: