Individual
KEITH PRIDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
747 E COUNTY LINE RD STE B, GREENWOOD, IN 46143-1082
(317) 789-9600
(317) 789-0600
Mailing address
747 E COUNTY LINE RD STE B, GREENWOOD, IN 46143-1082
(317) 789-9600
(317) 789-0600
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28205187A
IN
363L00000X
Nurse Practitioner
Primary
71007578A
IN
Other
Enumeration date
01/31/2017
Last updated
03/31/2021
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