Kayla Jordan Pridemore, is a
Registered Nurse - Obstetric, Inpatient based in Jenkins, Kentucky. Kayla Jordan Pridemore is licensed to practice in Kentucky (license number 1141181) and her current practice location is
61 Crosby Drive, Jenkins, Kentucky. She can be reached at her office (for appointments etc.) via phone at
(606) 872-1745.
NPI number for Kayla Jordan Pridemore is 1578427670 and her current mailing address is Po Box 90, Pine Top, Kentucky. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1578427670.
Provider's Profile
| Full Name | Kayla Jordan Pridemore |
|---|
| Gender | Female |
|---|
| Speciality | Registered Nurse - Obstetric, Inpatient |
|---|
| Location | 61 Crosby Drive, Jenkins, Kentucky |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1578427670
- Provider Enumeration Date: 12/12/2025
- Last Update Date: 12/12/2025
Medical Identifiers
Medical identifiers for Kayla Jordan Pridemore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1578427670 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163WX0003X | Registered Nurse - Obstetric, Inpatient | 1141181 (Kentucky) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kayla Jordan Pridemore is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Kayla Jordan Pridemore, Po Box 90, Pine Top, KY 41843-0090 Ph: () - | Kayla Jordan Pridemore, 61 Crosby Drive, Jenkins, KY 41537 Ph: (606) 872-1745 |
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