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NPI Code Detail

MEDICARE: DR. KENNETH C. PUGH PH.D.

MEDICARE:  DR. KENNETH C. PUGH  PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1231H00000XAudiologist80330TX
2231H00000XAudiologistAUD-88HI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10000245423OTHERHIHMSA BILLING NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1477682805
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KENNETH C. PUGH PH.D.
Provider Business Mailing Address
First Line : 91-2135 FORT WEAVER RD FL 3
Second Line :
City : EWA BEACH
State : HI
Zip : 96706-1940
Country : US
Telephone Number : 808-691-3352
Fax Number : 808-691-3355
Provider Business Practice Location Address
First Line : 91-2135 FORT WEAVER RD FL 3
Second Line :
City : EWA BEACH
State : HI
Zip : 96706-1940
Country : US
Telephone Number : 808-691-3352
Fax Number : 808-691-3355
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2007
Last Update Date : 06/09/2021

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Directions to “ DR. KENNETH C. PUGH PH.D.” Practice Location

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