Individual
DR. RONNIE PRIDEMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
913 N DIXIE AVE, ELIZABETHTOWN, KY 42701-2503
(877) 783-6257
(859) 514-5521
Mailing address
PO BOX 910530, LEXINGTON, KY 40591-0530
(877) 783-6257
(859) 514-5521
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
48816
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100136250
—
KY
Enumeration date
06/21/2008
Last updated
12/01/2025
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