Individual
KENNETH RYAN PUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
429 UNIVERSITY DR, PRESTONSBURG, KY 41653-1071
(606) 889-9572
Mailing address
429 UNIVERSITY DR, PRESTONSBURG, KY 41653-1071
(606) 889-9572
(606) 889-6546
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
018559
KY
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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