SearchKentucky207ND0101X

Samuel Pruden, MD

NPI 1871593996 · on the registry since 2005

Practice

Address
989 Governors Ln Ste 260
Lexington, KY 40513
Phone
(859) 296-7546
Fax
(859) 721-0829
Organisation at this address
Skinmd
Pt Pros, Inc.
Vaxcare Georgia Llc
Warren Home Healthcare
Bluegrass Cardiology Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
25

Additional practice sites

  • 448 Lewis Hargett Cir, Lexington, KY

Registry record

Primary taxonomy
207ND0101X
207ND0101X
Also registered as
207ND0900X
207Y00000X
208200000X
Licence states on file
KY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-12-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky