Provider Demographics
NPI:1407001522
Name:FEYERHERD, JASON LEE (PA)
Entity Type:Individual
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First Name:JASON
Middle Name:LEE
Last Name:FEYERHERD
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Gender:M
Credentials:PA
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Mailing Address - Street 1:2333 ALUMNI PARK PLZ
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40517-4012
Mailing Address - Country:US
Mailing Address - Phone:859-218-5677
Mailing Address - Fax:859-257-7899
Practice Address - Street 1:740 S LIMESTONE ST
Practice Address - Street 2:J450
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-0001
Practice Address - Country:US
Practice Address - Phone:859-323-5481
Practice Address - Fax:859-257-6106
Is Sole Proprietor?:No
Enumeration Date:2008-11-18
Last Update Date:2008-11-18
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant