Individual provider · Type 1 NPI

Kimberly Dawn Pruitt, APRN

Nurse Practitioner · Lexington, KY

NPI number 1174964969 Active

Practice location

211 Fountain Ct Ste 210
Lexington, KY 40509-2696

Fax (859) 629-7149

Mailing address

PO Box 936
London, KY 40743-0936

Other practice locations

  • 740 S Limestone, Ste L304, Lexington, KY 40536 · (859) 323-6494

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X3008160 (KY)
Nurse Practitioner Primary 363L00000X3008160 (KY)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1174964969

Kimberly Dawn Pruitt, APRN's National Provider Identifier is 1174964969, issued on Jul 9, 2013. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lexington, KY. The record was last updated on Aug 20, 2026.