Individual
KEVIN M PRIDEMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
1051 NEWTOWN PIKE, SUITE H-J, LEXINGTON, KY 40511
(859) 253-0758
(859) 253-0890
Mailing address
PO BOX 950248, LOUISVILLE, KY 40295-0248
(502) 489-5730
(502) 489-5753
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004120
KY
Other
Enumeration date
06/19/2008
Last updated
12/08/2020
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