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Individual

ADAM PREWITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
100 LONDON MOUNTAIN VIEW DR FL 1, LONDON, KY 40741-6668
(859) 275-5229
(859) 977-2683
Mailing address
223 EXECUTIVE PARK, LOUISVILLE, KY 40207
(502) 907-0356
(502) 919-9780

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3014139
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000001344929
ANTHEM PROVIDER ID NUMBER
01
2165245
WELLCARE OF KENTUCKY PROVIDER ID NUMBER
KY
01
279842
SIHO PROVIDER ID NUMBER
05
300035090
IN
05
7100648480
KY
01
7326100
UNITED HEALTHCARE PROVIDER ID NUMBER
01
CS2009900478
CARESOURCE PROVIDER ID NUMBER
01
P02504366
RAILROAD MEDICARE
KY
01
PDZ000000438558
AETNA BETTER HEALTH OF KENTUCKY PROVIDER ID NUMBER
KY
Enumeration date
02/05/2020
Last updated
01/19/2021
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