Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JERRY WAYNE IERY, PA

Active

Medical Physician Assistant · SOUTH SHORE, KY

Registration Details

NPI Number: 1255416384
Provider Type: Individual
Gender: Male
NPI Issued: Oct 26, 2006 (19.487264264953 yrs)
Last Updated: Apr 18, 2017
Licenses: PA983 (KY)

1074488 (OH)

PA983 (KY)

Practice Information

Address: 142 DEPOT DR

SOUTH SHORE, KY, 41175
Browse KY providers · Browse ZIP 41175
Phone: 6069322271
Fax: 6069322273
Primary Specialty: Medical Physician Assistant
363AM0700X
Additional Specialty: Medical Physician Assistant
Additional Specialty: Medical Physician Assistant

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.