Individual
KELLY HINKLE PUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2717 E OAKLAND AVE, JOHNSON CITY, TN 37601-1843
(423) 926-2358
(423) 926-2680
Mailing address
2717 E OAKLAND AVE, JOHNSON CITY, TN 37601-1843
(423) 926-2358
(423) 926-2680
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4502
TN
Other
Enumeration date
04/07/2021
Last updated
12/11/2025
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