Individual
MR. KEVIN WAYNE PRIDMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
326 ASBURY AVE, RIPLEY, TN 38063-5577
(731) 221-2478
(731) 221-2255
Mailing address
5419 PORTERSVILLE RD, ATOKA, TN 38004-7331
(901) 840-2359
(731) 221-2255
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6702
TN
Other
Enumeration date
04/13/2007
Last updated
07/08/2007
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