SAMUEL PRUDEN II, MD
Dermatology - MOHS-Micrographic Surgery
Active
Individual
NPI: 1871593996
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dermatology - Dermatopathology | 207ND0900X | No | 34192 (KY) |
| Otolaryngology | 207Y00000X | No | 34192 (KY) |
| Plastic Surgery | 208200000X | No | 34192 (KY) |
| Dermatology - MOHS-Micrographic Surgery | 207ND0101X | Yes | 34192 (KY) |
Frequently Asked Questions
NPI 1871593996 is the National Provider Identifier for SAMUEL PRUDEN II, MD, a Dermatology - MOHS-Micrographic Surgery provider located in Lexington, KY. This NPI was enumerated on July 29, 2005.
SAMUEL PRUDEN II, MD practices at 989 GOVERNORS LN STE 260, Lexington, KY 40513.
Quick Facts
- NPI
- 1871593996
- Type
- Individual
- Enumerated
- Jul 29, 2005
- Last Updated
- Dec 15, 2022
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