Individual
KEVIN PRIDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-0293
(352) 273-8610
Mailing address
800 ROSE ST, LEXINGTON, KY 40536-0293
(859) 218-0069
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME161640
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118697100
—
FL
Enumeration date
03/28/2019
Last updated
10/23/2024
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