Individual
DR. KENNETH K FUGATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
525 N MAIN ST, PUNXSUTAWNEY, PA 15767-2581
(814) 938-7933
(814) 938-9872
Mailing address
525 N MAIN ST, PUNXSUTAWNEY, PA 15767-2581
(814) 938-7933
(814) 938-9872
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD039731L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010556490006
—
PA
01
—
003158
BLUE SHIELD INDIVIDUAL #
PA
01
—
010053900
BLACK LUNG
PA
01
—
126846
BLUE SHIELD GROUP #
PA
01
—
211751
UPMC
PA
01
—
251819235
COMMERICAL INSURANCES
PA
01
—
251819235001
TRICARE
PA
01
—
3733
HEALTHEON/HEALTHAMERICA
PA
01
—
P0000958
GATEWAY
PA
Enumeration date
10/04/2005
Last updated
11/25/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us