Individual
JONATHAN TYLER DEATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSS
Contact information
Practice address
625 JAMES S TRIMBLE BLVD, PAINTSVILLE, KY 41230-1065
(606) 789-3511
(606) 788-6483
Mailing address
625 JAMES S TRIMBLE BLVD, PAINTSVILLE, KY 41230-1065
(606) 789-3511
(606) 788-6483
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
KY
Other
Enumeration date
07/25/2024
Last updated
01/14/2026
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