| 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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