Individual
VINCENT PRUSICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110 CONN TER, LEXINGTON, KY 40508
(586) 268-5741
Mailing address
110 CONN TER, LEXINGTON, KY 40508-3206
(859) 268-5622
Taxonomy
Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
51561
KY
207XP3100X
Pediatric Orthopaedic Surgery Physician
56224
TN
Other
Enumeration date
05/03/2012
Last updated
07/21/2022
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