SearchTennessee374U00000X

Kenyatta Pugh

NPI 1215543251 · on the registry since 2020 · sole proprietor

Practice

Address
1176 Vickery Ln Ste 200
Cordova, TN 38016
Phone
(901) 255-4490
Fax
(901) 416-4490
Organisation at this address
Steadfast Aba Llc
Memphis Sleep Lab, Inc
Precision Mental Health Llp
Ihms Healthcare Incorporated
Mind And Body Wellness Clinic
Inferred from a shared address, not stated in the registry.
Clinicians at this address
28

Registry record

Primary taxonomy
374U00000X
374U00000X
Licence states on file
TN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-09-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee