Individual
DR. KENNETH C. PUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
80330
TX
231H00000X
Audiologist
Primary
AUD-88
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000245423
HMSA BILLING NUMBER
HI
05
—
55114401
—
HI
Enumeration date
03/02/2007
Last updated
06/09/2021
Update your record
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