Individual
MR. KEVIN JON PUFALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 412-8686
Mailing address
2508 FAIRWAY TER, CLOVIS, NM 88101-2734
(505) 440-0063
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11366
TN
Other
Enumeration date
01/23/2006
Last updated
04/30/2025
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