Individual
KIRK D PRATHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 S FLOYD ST, SUITE 407, LOUISVILLE, KY 40202-1835
(502) 629-2880
Mailing address
804 SCOTT NIXON MEMORIAL DR, AUGUSTA, GA 30907-2464
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
30685
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6488092500
—
KY
Enumeration date
05/16/2006
Last updated
03/14/2008
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