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Individual
ADAM GREGORY MYERS
Active
Individual
ADAM GREGORY MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2884
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010-06362
NC MEDICAL LICENSE
NC
05
—
7100795040
—
KY
01
—
PA2884
KY LICENSE
KY
Enumeration date
04/05/2016
Last updated
02/21/2024
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