Individual
DR. BRIAN KEITH PRIDDLE SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
333 BOGLE ST, SOMERSET, KY 42503-2873
(606) 678-0705
(606) 678-2807
Mailing address
402 BOGLE ST, STE 2, SOMERSET, KY 42503-2870
(606) 451-3145
(606) 451-3145
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
22200
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64222003
—
KY
Enumeration date
06/22/2006
Last updated
07/14/2021
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