Pridemore, Stephanie K
Pridemore, Stephanie K is an individual health care provider with primary practice located at 1618 Harrodsburg Rd , Lexington KY 40504-3706. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Occupational Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Pridemore, Stephanie K can be contacted via phone (859) 288-5004.Contact Information
Primary practice address
1618 Harrodsburg Rd
Lexington KY 40504-3706
Phone: (859) 288-5004
Fax: (859) 288-5007
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | PA602 | Kentucky |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA602 | Kentucky |
Profile Details
| NPI number | 1922269307 |
|---|---|
| LBN Legal business name | Pridemore, Stephanie K |
| Credentials | PHYSICIAN ASSISTANT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 19th, 2008 |
| Last updated | Dec 8th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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