Perdita Lee Prater
Family Doctor - Adult Medicine
Kentucky State Reformatory 3001 W Hwy 146
La Grange
, Kentucky 40032
Perdita Lee Prater
Family Doctor - Adult Medicine
Kentucky State Reformatory 3001 W Hwy 146
La Grange
, Kentucky 40032
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About
Features
Specialties
- Family Doctor - Adult Medicine
Languages spoken
- English
Location
First Address
- Perdita Lee Prater
- 2963 Trailwood Ln
- Lexington, KY
- Zip : 40511-8873
- Phone :
Second Address
- Perdita Lee Prater
- Kentucky State Reformatory 3001 W Hwy 146
- La Grange, KY
- Zip : 40032
- Phone : (502) 222-9441
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QA0505X | Family Doctor - Adult Medicine | 3016093 | KY |
National Provider Identifier
| NPI | 1295496677 |
|---|---|
| Provider Name | Perdita Lee Prater |
| First Address | Lexington, KY 40511-8873 |
| Second Address | La Grange, KY 40032 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/01/2022 |
| Last Update Date | 10/01/2022 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.