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

KEITH K PUGH, RPSGT

Active Sole Proprietor

Athletic Trainer · JACKSONVILLE, FL

Registration Details

NPI Number
1982796827
Provider Type
Individual
Gender
Male
NPI Issued
Sep 28, 2006 (19.564665890646 yrs)
Last Updated
Jul 8, 2007
License
5281 (NY)
Sole Proprietor
Yes

Practice Information

Address
1015 ONTARIO ST
JACKSONVILLE, FL, 322542073
Browse FL providers · Browse ZIP 32254
Phone
9043876606
Primary Specialty
Athletic Trainer
225500000X

Other Athletic Trainer Providers in JACKSONVILLE, FL

Name Credential NPI
MR. JAMES HENRY MACKIE ATC 1982670345
MISS MARY KAY LOCKWOOD ATC L 1356377592
YLAN PETRANICK 1760993265
MRS. AMY MARIE SPAHIC 1538752449
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.