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1477714855
KEVIN M PRIDEMORE
LEXINGTON, KY
NPI
1477714855
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: KY 004120)
Enumeration Date
2008-06-19
Last Update Date
2020-12-08
Business Address
KEVIN M PRIDEMORE Physical Therapist
1051 NEWTOWN PIKE SUITE H-J
LEXINGTON, KY 40511
Phone number: 859-253-0758
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Mailing Address
KEVIN M PRIDEMORE Physical Therapist
PO BOX 950248
LOUISVILLE, KY 40295-0248
Phone number: 502-489-5730
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