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Contact Information

VINCENT PRUSICK, MD
110 CONN TER
LEXINGTON, KY40508
 Phone: 586-268-5741
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Orthopaedic Surgery

207XP3100X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for VINCENT PRUSICK · (Male)

NPI # 1902164411
Status Active
Credentials MD
Entity Individual
Enumeration date 05/03/2012
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 51561
  • TN License # 56224
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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