Individual
KEVIN J. PUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MC-2827
ID
207XX0801X
Orthopaedic Trauma Physician
35-059085
OH
207XX0801X
Orthopaedic Trauma Physician
Primary
65356
AZ
207XX0801X
Orthopaedic Trauma Physician
83008
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0220746
—
OH
Enumeration date
09/08/2005
Last updated
04/29/2024
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