Kenneth K. Fugate, M.d. | |
525 N Main St Punxsutawney PA 15767-2581 | |
(814) 938-7933 | |
(814) 938-3299 |
Full Name | Kenneth K. Fugate, M.d. |
---|---|
Speciality | Internal Medicine |
Location | 525 N Main St, Punxsutawney, Pennsylvania |
Authorized Official Name and Position | Kenneth K Fugate (OWNER) |
Authorized Official Contact | 8149387933 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Kenneth K. Fugate, M.d. 525 N Main St Punxsutawney PA 15767-2581 Ph: (814) 938-7933 | Kenneth K. Fugate, M.d. 525 N Main St Punxsutawney PA 15767-2581 Ph: (814) 938-7933 |
NPI Number | 1750320628 |
---|---|
Provider Enumeration Date | 06/06/2006 |
Last Update Date | 11/25/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750320628 | NPI | - | NPPES |
126846 | Other | PA | BLUE SHIELD GROUP # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD039731L (Pennsylvania) | Primary |
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