# PROUDFOOT & ASSOCIATES, PSC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cave Run Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932237211
- **Authorized official:** SHARLET N KIDD (MANAGER/CREDENTIALING)
- **Authorized official phone:** (606) 784-9142

## Contact information

- **Practice address:** 245 FLEMINGSBURG RD, MOREHEAD, KY 40351-1015
- **Practice address phone:** (606) 783-7689
- **Practice address fax:** (606) 784-5671
- **Mailing address:** PO BOX 1145, MOREHEAD, KY 40351-5145
- **Mailing address phone:** (606) 783-7689
- **Mailing address fax:** (606) 784-5671

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | 24696 | KY | Yes |
| 208800000X | Urology Physician | 39293 | KY | — |

## Other

- **Enumeration date:** 03/01/2007
- **Last updated:** 02/08/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 65901597 | — | KY |