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Mr. Jerry Wesley Clevinger, PA-C
Medical Physician Assistant in Frankfort, Kentucky
NPI 1609560911

Jerry Wesley Clevinger is a Medical Physician Assistant based in Frankfort, KY and is specialized in Medical. Jerry Wesley Clevinger practices in Frankfort, KY and has the professional credentials of PA-C. The NPI Number for Jerry Wesley Clevinger is 1609560911 and holds a License No. (Kentucky).

The current practice location address for Jerry Wesley Clevinger is 617 Chamberlin Ave, Frankfort, KY and can be reached out via phone at 502-699-2285.

Location: 617 Chamberlin Ave, Frankfort, KY, 40601-4220
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609560911
Provider Name
Jerry Wesley Clevinger
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
617 Chamberlin Ave, Frankfort, KY, 40601-4220
Phone Number
502-699-2285
Fax Number
Provider Enumeration Date
06/08/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
617 Chamberlin Ave
City
Frankfort
State
Kentucky
Zip
40601-4220
Phone Number
502-699-2285
Fax Number
person
Provider Business Mailing Address Details
Address
617 Chamberlin Ave
City
Frankfort
State
Kentucky
Zip
40601-4220
Phone Number
502-699-2285
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA3210 (Kentucky)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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