Provider Demographics
NPI:1154619401
Name:GEARY, JOHN W IV (CSFA)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:W
Last Name:GEARY
Suffix:IV
Gender:M
Credentials:CSFA
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 489
Mailing Address - Street 2:
Mailing Address - City:TAYLORSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40071-0489
Mailing Address - Country:US
Mailing Address - Phone:502-821-2896
Mailing Address - Fax:502-473-6399
Practice Address - Street 1:360 DEER CREEK LN
Practice Address - Street 2:
Practice Address - City:TAYLORSVILLE
Practice Address - State:KY
Practice Address - Zip Code:40071-8271
Practice Address - Country:US
Practice Address - Phone:502-821-2896
Practice Address - Fax:502-473-6399
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-20
Last Update Date:2020-04-24
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty