Organization
PROUDFOOT & ASSOCIATES, PSC
Active
Other names
Cave Run Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
SHARLET N KIDD (MANAGER/CREDENTIALING)
(606) 784-9142
Entity
Organization
Contact information
Practice address
245 FLEMINGSBURG RD, MOREHEAD, KY 40351-1015
(606) 783-7689
(606) 784-5671
Mailing address
PO BOX 1145, MOREHEAD, KY 40351-5145
(606) 783-7689
(606) 784-5671
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
24696
KY
208800000X
Urology Physician
39293
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65901597
—
KY
Enumeration date
03/01/2007
Last updated
02/08/2023
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