1871593996 Samuel J Pruden Ii, MD

MOHS-Micrographic Surgery Physician

Active

Basic Information

Full Name
Samuel J Pruden Ii, MD
Gender
Male
Enumeration Date
July 29, 2005
Last Update
December 15, 2022

Practice Location

Address
989 GOVERNORS LN STE 260
LEXINGTON, KY 405131175
Phone
(859) 296-7546
Fax
(859) 721-0829

Mailing Address

Address
989 GOVERNORS LN STE 220
LEXINGTON, KY 405131175
Phone
(859) 296-7546
Fax
(859) 721-0829

Specialties & Taxonomies

Specialty Code Classification License State Primary
Dermatopathology Physician
Dermatopathology
 207ND0900X Dermatology 34192 KY No
Otolaryngology Physician
 207Y00000X Otolaryngology 34192 KY No
Plastic Surgery Physician
 208200000X Plastic Surgery 34192 KY No
MOHS-Micrographic Surgery Physician
MOHS-Micrographic Surgery
 207ND0101X Dermatology 34192 KY Primary

Other Identifiers

Identifier Type State Issuer
000000823142 01 KY ANTHEM BCBS
64051196 05 KY N/A

Additional Practice Locations

448 Lewis Hargett Cir
STE. 240
Lexington, KY 405033594

Phone: (859) 226-0206

Fax: (859) 226-0207

Frequently Asked Questions

What is Samuel J Pruden Ii, MD's NPI number?
Samuel J Pruden Ii, MD's NPI number is 1871593996.
Which doctor has NPI number 1871593996?
The doctor with NPI number 1871593996 is Samuel J Pruden Ii, MD.
What is Samuel J Pruden Ii, MD's practice address?
Samuel J Pruden Ii, MD's practice address is 989 GOVERNORS LN STE 260, LEXINGTON, KY, 405131175.
Which doctor practices at 989 GOVERNORS LN STE 260, LEXINGTON, KY, 405131175?
Samuel J Pruden Ii, MD practices at 989 GOVERNORS LN STE 260, LEXINGTON, KY, 405131175.
What is Samuel J Pruden Ii, MD's mailing address?
Samuel J Pruden Ii, MD's mailing address is 989 GOVERNORS LN STE 220, LEXINGTON, KY, 405131175.
What is Samuel J Pruden Ii, MD's phone number?
Samuel J Pruden Ii, MD's phone number is (859) 296-7546.
Who is (859) 296-7546?
(859) 296-7546 is the phone number for Samuel J Pruden Ii, MD.
What is Samuel J Pruden Ii, MD's specialty?
Samuel J Pruden Ii, MD's specialty is MOHS-Micrographic Surgery Physician.
What type of doctor is Samuel J Pruden Ii, MD?
Samuel J Pruden Ii, MD is a MOHS-Micrographic Surgery Physician.
Is Samuel J Pruden Ii, MD a MOHS-Micrographic Surgery?
Yes, Samuel J Pruden Ii, MD is a MOHS-Micrographic Surgery.
Is Samuel J Pruden Ii, MD still practicing?
Yes, Samuel J Pruden Ii, MD is currently practicing.
Is Samuel J Pruden Ii, MD accepting new patients?
Samuel J Pruden Ii, MD may be accepting new patients. Please call their office at (859) 296-7546 to inquire about availability.
Is NPI 1871593996 still active?
Yes, NPI 1871593996 is currently active.
Where does Samuel J Pruden Ii, MD practice?
Samuel J Pruden Ii, MD practices in LEXINGTON, KY.
Is Samuel J Pruden Ii, MD a male or female doctor?
Samuel J Pruden Ii, MD is a male doctor.