Kelly Dean Pridgen MD

NPI 1013955798 - Emergency Medicine - 207P00000X

NPI Details
NPI 1013955798
Gender Male
Enumeration Date 06/03/2006
Last Updated 03/05/2008
Entity Type Individual
Active Over 11 years ago
Practice Location
PENDLETON OR, 97801-3217, US
Phone (541) 276-5121
Fax (541) 278-3661
Business Location
505 S 336TH ST
FEDERAL WAY WA, 98003-6328, US
Phone (253) 838-6180
Fax (253) 838-6418
Taxonomy Code 207P00000X
License State Oregon
License Number MD24109
Remove 1013955798 NPI Number

According to our database, Kelly Dean Pridgen MD NPI is 1013955798, taxonomy code is 207P00000X and license number is MD24109, license state is located at Oregon. Kelly Dean Pridgen MD physically located at 1601 Se Court Ave, Pendleton OR, 97801-3217. NPI Number Kelly Dean Pridgen MD has the Individual type.

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1013955798 NPI number is provided on an as is basis without warranty of any kind. 1013955798 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly Dean Pridgen MD are for informational purposes only.