Individual provider · Type 1 NPI
Jerry Wayne Iery, PA
Medical Physician Assistant · South Shore, KY
NPI number
1255416384
Active
Practice location
142 Depot Dr
South Shore, KY 41175
Fax (606) 932-2273
Mailing address
PO Box 550
Vanceburg, KY 41179
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | PA983 (KY) |
| Medical Physician Assistant | 363AM0700X | 1074488 (OH) |
| Medical Physician Assistant Primary | 363AM0700X | PA983 (KY) |
Medical Physician Assistant: Definition to come...
4 other providers at this address
- Lewis County Primary Care Center, Inc.Community/Retail Pharmacy South Shore, KY NPI 1235688920
- Cathy Sue Tackett, APRNFamily Nurse Practitioner South Shore, KY NPI 1912130048
- Danielle Arthur, CNPNurse Practitioner South Shore, KY NPI 1003477118
- Lisa Carol Garrison, RPHPharmacist South Shore, KY NPI 1538750336
About NPI 1255416384
Jerry Wayne Iery, PA's National Provider Identifier is 1255416384, issued on Oct 26, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in South Shore, KY. The record was last updated on Apr 18, 2017.