STEPHANIE PRIDEMORE, PA
Physician Assistant
Active
Individual
NPI: 1922269307
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Preventive Medicine - Occupational Medicine | 2083X0100X | No | PA602 (KY) |
| Physician Assistant - Medical | 363AM0700X | No | PA602 (KY) |
| Physician Assistant - Surgical | 363AS0400X | No | PA602 (KY) |
| Physician Assistant | 363A00000X | Yes | PA602 (KY) |
Frequently Asked Questions
NPI 1922269307 is the National Provider Identifier for STEPHANIE PRIDEMORE, PA, a Physician Assistant provider located in Lexington, KY. This NPI was enumerated on June 19, 2008.
STEPHANIE PRIDEMORE, PA practices at 740 S LIMESTONE STE C300, Lexington, KY 40536.
Quick Facts
- NPI
- 1922269307
- Type
- Individual
- Enumerated
- Jun 19, 2008
- Last Updated
- Sep 4, 2024
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