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Individual

JERRY W CONNERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
40 N GRAND AVE, SUITE 200, FORT THOMAS, KY 41075-4107
(859) 781-2700
(859) 781-2712
Mailing address
40 NORTH GRAND AVE, 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
10/23/2006
Last updated
10/30/2007
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