Organization
GASTROENTEROLOGY CONSULTANTS
Active
Organization
GASTROENTEROLOGY CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY L. YON M.D. (PARTNER)
(859) 276-4382
Entity
Organization
Contact information
Practice address
1720 NICHOLASVILLE ROAD, SUITE 302, LEXINGTON, KY 40503-1404
(859) 276-4382
(859) 278-0692
Mailing address
1720 NICHOLASVILLE ROAD, SUITE 302, LEXINGTON, KY 40503-1404
(859) 276-4382
(859) 278-0692
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000060642
ANTHEM
KY
01
—
J4220
RAILROAD
KY
Enumeration date
03/21/2007
Last updated
05/26/2011
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