Individual
PERDITA LEE PRATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536-7001
(859) 323-6047
(859) 257-3873
Mailing address
2963 TRAILWOOD LN, LEXINGTON, KY 40511-8873
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
3016093
KY
363LF0000X
Family Nurse Practitioner
Primary
3016093
KY
Other
Enumeration date
01/06/2022
Last updated
02/07/2023
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