STEPHANIE K PRIDEMORE

LEXINGTON, KY
NPI1922269307
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: KY  PA602)
Additional Taxonomies2083X0100X Preventive Medicine, Occupational Medicine
(Licence: KY  PA602)
363AM0700X Physician Assistant, Medical
(Licence: KY  PA602)
363AS0400X Physician Assistant, Surgical
(Licence: KY  PA602)
Enumeration Date2008-06-19
Last Update Date2024-09-04
Business Address
STEPHANIE K PRIDEMORE PA
740 S LIMESTONE STE C300
LEXINGTON, KY 40536-3706
Phone number: 859-257-5405
Mailing Address
STEPHANIE K PRIDEMORE PA
1618 HARRODSBURG RD
LEXINGTON, KY 40504-3706
Phone number: 859-288-5004