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JERRY W CONNERS MD PSC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JERRY W CONNERS MD (MD)
(859) 781-2700
Entity
Organization

Contact information

Practice address
40 NORTH GRAND AVENUE, SUITE 200, FT THOMAS, KY 41075
(859) 781-2700
(859) 781-2712
Mailing address
40 NORTH GRAND AVENUE, SUITE 200, FT THOMAS, KY 41075
(859) 781-2700
(859) 781-2712

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
15481
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64154818
KY
Enumeration date
12/06/2007
Last updated
12/06/2007
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