Individual
DR. JERRY ROGER HERSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
2517 BRIDLE CT, LEXINGTON, KY 40504-1619
(859) 221-4088
Mailing address
2517 BRIDLE CT, LEXINGTON, KY 40504-1619
(859) 221-4088
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
40615
KY
Other
Enumeration date
08/01/2007
Last updated
06/10/2008
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