MR. Jerry Wayne Iery, PA

NPI #1255416384 in South Shore, Kentucky

Provider Information

NPI Number: 1255416384
Entity Type: Individual
Name: MR. Jerry Wayne Iery, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Oct 26, 2006
Last Updated: Apr 18, 2017

Practice Location

Address: 142 DEPOT DR
City: South Shore
State: Kentucky
ZIP Code: 41175
Phone: (606) 932-2271

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary
Physician Assistant - Medical — Medical	363AM0700X

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