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Individual

JONATHAN A BYERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
100 BLACKBURN LANE, DRY RIDGE, KY 41035
(859) 823-5441
(859) 823-5001
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 823-5441
(859) 823-5001

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
47090
KY
207Q00000X
Family Medicine Physician
LL33619
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100308260
KY
Enumeration date
06/30/2011
Last updated
05/21/2021
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