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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KENYATTA PUGH

Active Sole Proprietor

KENYATTA PUGH is a Home Health Aide healthcare provider located in CORDOVA, Tennessee. NPI 1215543251 is currently active in the NPPES registry. Verify at CMS.

Home Health Aide · CORDOVA, TN

Registration Details

NPI Number
1215543251
Provider Type
Individual
Gender
Male
NPI Issued
Sep 16, 2020 (5.9342548299948 yrs)
Last Updated
Sep 16, 2020
License
170003871 (TN)
Sole Proprietor
Yes

Practice Information

Address
1176 VICKERY LN STE 200
CORDOVA, TN, 380160631
Browse TN providers · Browse ZIP 38016
Phone
9012554490
Fax
9014164490
Primary Specialty
Home Health Aide
374U00000X

Other Home Health Aide Providers in CORDOVA, TN

Name Credential NPI
JAMES WHITAKER 1174988125
MIA SCULLARK 1598204729
LASHUNDA PARTEE 1205376613
CAROLYN BEAN 1881189702
LANORA OWENS 1912647520
WENDY R BENTON 1821775545
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.