Individual
KERRY GEARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2101 WILMORE RD, WEST JESSAMINE HIGH SCHOOL, NICHOLASVILLE, KY 40356-8917
(859) 887-2421
(859) 887-8854
Mailing address
2101 WILMORE RD, WEST JESSAMINE HIGH SCHOOL, NICHOLASVILLE, KY 40356-8917
(859) 887-2421
(859) 887-8854
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
AT056
KY
Other
Enumeration date
12/09/2013
Last updated
12/09/2013
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