Individual
DR. LYUDMILA STEPANOVNA PUPKOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
210 BLACKGOLD BLVD, SUITE 102, HAZARD, KY 41701
(606) 487-0885
Mailing address
210 BLACKGOLD BLVD, SUITE 102, HAZARD, KY 41701
(606) 487-0885
(606) 487-7332
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
228588
NY
208600000X
Surgery Physician
25MA07458500
NJ
208600000X
Surgery Physician
Primary
43967KY
KY
208600000X
Surgery Physician
MD430562
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100162020
—
KY
Enumeration date
08/01/2005
Last updated
11/18/2011
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