Individual
MS. KIMBERLY DAWN PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
740 S LIMESTONE, STE L304, LEXINGTON, KY 40536
(859) 323-6494
(859) 257-2573
Mailing address
PO BOX 936, LONDON, KY 40743-0936
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3008160
KY
363LF0000X
Family Nurse Practitioner
Primary
3008160
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100254950
—
KY
Enumeration date
07/09/2013
Last updated
03/22/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us