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

SAMUEL J PRUDEN II, MD

Active

SAMUEL J PRUDEN II, MD is a Obesity Medicine healthcare provider located in LEXINGTON, Kentucky. NPI 1871593996 is currently active in the NPPES registry. Verify at CMS.

Obesity Medicine · LEXINGTON, KY

Registration Details

NPI Number
1871593996
Provider Type
Individual
Gender
Male
NPI Issued
Jul 29, 2005 (21.038268180703 yrs)
Last Updated
Dec 15, 2022
Licenses
34192 (KY)
34192 (KY)
34192 (KY)
34192 (KY)

Practice Information

Address
989 GOVERNORS LN STE 260
LEXINGTON, KY, 405131175
Browse KY providers · Browse ZIP 40513
Phone
8592967546
Fax
8597210829
Primary Specialty
Obesity Medicine
207ND0101X
Additional Specialty
Otolaryngology
Additional Specialty
Plastic Surgery
Additional Specialty
Obesity Medicine

Other Obesity Medicine Providers in LEXINGTON, KY

Name Credential NPI
WILLIAM PATRICK DAVEY M.D. 1497758866
DR. JOHN L BUKER M.D. 1457355174
CAROL B THOMPSON MD 1316206584
DR. STEVEN EDWIN EILERS M.D. 1306250790
MAHEERA AHMAD FARSI-MORGAN DO 1366826059
TYLER ROGER MARION MD 1417410853
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.