Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kevin M Pridemore, PHYSICALTHERAPIST

Individual provider Physical Therapist · NPI 1477714855

Kevin M Pridemore, PHYSICALTHERAPIST is a Physical Therapist in Lexington, Kentucky. Works from 2 locations. Licensed in Kentucky.

Licensed in
KY
In the registry since
2008

Practice location Address checks out

1051 Newtown Pike Ste H-J
Lexington, KY 40511
Phone: (859) 253-0758
Fax: (859) 253-0890
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 230 Fountain Ct Ste 325, Lexington, KY 40509-2167 — (859) 263-0595

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 004120 (KY)

Record details

NPI number1477714855
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICALTHERAPIST
Sole proprietorNo
NPI enumeratedJune 19, 2008
Last updated in NPPESDecember 8, 2020
Certification dateDecember 8, 2020

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