Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Gary Lee McDerment Jr., PRSS

Individual provider Peer Specialist · NPI 1477331163

Mr. Gary Lee McDerment Jr., PRSS is a Peer Specialist in Kenova, West Virginia. Practices as a sole proprietor. Licensed in West Virginia.

Licensed in
WV
In the registry since
2023
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

802 Oak St
Kenova, WV 25530-1519
Phone: (304) 908-1056
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence 23-9188 (WV)

Record details

NPI number1477331163
Entity typeIndividual (Type 1)
GenderMale
Credentials PRSS
Sole proprietorYes
NPI enumeratedSeptember 15, 2023
Last updated in NPPESFebruary 21, 2024
Certification dateFebruary 21, 2024

Other providers in Kenova