Individual
KAITLYN M PUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CF-SLP
Contact information
Practice address
310 CORPORATE DR STE 101, KNOXVILLE, TN 37923-4638
(757) 390-9564
(865) 769-0801
Mailing address
310 CORPORATE DR STE 101, KNOXVILLE, TN 37923-4638
(757) 390-9564
(865) 769-0801
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7148
TN
Other
Enumeration date
08/19/2020
Last updated
08/19/2020
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