Individual
MR. TERRY L MCPHERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
78 SUMMERTREE DR, NICHOLASVILLE, KY 40356-9714
(859) 553-6474
(859) 901-0015
Mailing address
78 SUMMERTREE DR, NICHOLASVILLE, KY 40356-9714
(859) 553-6474
(859) 901-0015
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA757
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000201489
ANTHEM OF KY
KY
05
—
100329260B
—
IN
05
—
95005427
—
KY
01
—
P400033473
MEDICARE PTAN
—
Enumeration date
07/13/2005
Last updated
02/18/2026
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