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Individual
ADAM PREWITT
Active
Individual
ADAM PREWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3014139
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001344929
ANTHEM PROVIDER ID NUMBER
—
01
—
2165245
WELLCARE OF KENTUCKY PROVIDER ID NUMBER
KY
01
—
279842
SIHO PROVIDER ID NUMBER
—
05
—
300035090
—
IN
05
—
7100648480
—
KY
01
—
7326100
UNITED HEALTHCARE PROVIDER ID NUMBER
—
01
—
CS2009900478
CARESOURCE PROVIDER ID NUMBER
—
01
—
P02504366
RAILROAD MEDICARE
KY
01
—
PDZ000000438558
AETNA BETTER HEALTH OF KENTUCKY PROVIDER ID NUMBER
KY
Enumeration date
02/05/2020
Last updated
01/19/2021
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