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Individual

MRS. JINGER RENEE PRUDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A., CCC-A

Contact information

Practice address
350 HENRY CLAY BLVD, LEXINGTON, KY 40502-1024
(859) 268-4545
(859) 269-1857
Mailing address
350 HENRY CLAY BLVD, LEXINGTON, KY 40502-1024
(859) 268-4545
(859) 269-1857

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
0409
KY
231H00000X
Audiologist
Primary
100824
KY
237600000X
Audiologist-Hearing Aid Fitter
HISHSP00218694
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100343330
KY
Enumeration date
07/23/2007
Last updated
03/03/2026
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