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Individual

JERRY KEITH COLEMAN II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1350 BULL LEA RD, LEXINGTON, KY 40511-1247
(859) 246-8000
Mailing address
1350 BULL LEA RD, LEXINGTON, KY 40511-1247
(859) 246-8000

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2125
KY
363A00000X
Physician Assistant
TC522
KY
363AM0700X
Medical Physician Assistant
PA2125
KY
363AS0400X
Surgical Physician Assistant
PA2125
KY

Other

Enumeration date
09/01/2016
Last updated
02/05/2021
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