Provider Demographics
NPI:1598506388
Name:BIERY, JONATHAN KENT (PA-C)
Entity type:Individual
Prefix:
First Name:JONATHAN
Middle Name:KENT
Last Name:BIERY
Suffix:
Gender:M
Credentials:PA-C
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Mailing Address - Street 1:134 NORMAL AVE APT 3
Mailing Address - Street 2:
Mailing Address - City:SLIPPERY ROCK
Mailing Address - State:PA
Mailing Address - Zip Code:16057-1234
Mailing Address - Country:US
Mailing Address - Phone:814-701-6522
Mailing Address - Fax:
Practice Address - Street 1:449 N HERMITAGE RD
Practice Address - Street 2:
Practice Address - City:HERMITAGE
Practice Address - State:PA
Practice Address - Zip Code:16148-3342
Practice Address - Country:US
Practice Address - Phone:724-962-9622
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-04
Last Update Date:2024-09-11
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical