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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JORDAN MYERS PRENDERGAST, DO

Active

JORDAN MYERS PRENDERGAST, DO is a Family Medicine healthcare provider located in LEXINGTON, Kentucky. NPI 1396905998 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · LEXINGTON, KY

Registration Details

NPI Number
1396905998
Provider Type
Individual
Gender
Female
NPI Issued
Jun 17, 2008 (18.155714947041 yrs)
Last Updated
Nov 8, 2016
Licenses
03156 (KY)
R1335 (KY)

Practice Information

Address
630 SOUTHPOINT DR
LEXINGTON, KY, 405156350
Browse KY providers · Browse ZIP 40515
Phone
8592721928
Fax
8592719601
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine

Other Family Medicine Providers in LEXINGTON, KY

Name Credential NPI
MR. ROBERT RITCHIE VANBUSSUM MD 1144222399
DR. ROGER WAYNE MAY DO 1316942071
DR. WILLIAM JEFFREY FOXX M.D. 1801891353
DR. MARY H HENKEL M.D. 1699770156
DR. KEITH T APPLEGATE M.D. 1245235795
DR. WESLEY W JOHNSON M.D. 1619972171
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.