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KENYATTA PUGH
NPI 1215543251
Home Health Aide in Cordova, TN

Active since September 16, 2020
1176 VICKERY LN STE 200, CORDOVA, TN 38016(901) 255-4490(901) 416-4490 Get Directions Write a Review

NPPES record last updated: September 16, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kenyatta Pugh NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENYATTA PUGH (NPI 1215543251) is an individual home health aide in Cordova, Tennessee, licensed in Tennessee (170003871) and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1215543251
Entity TypeIndividualMale
Primary Taxonomy374U00000X
Provider Legal NameKENYATTA PUGH
Location Address1176 VICKERY LN STE 200Cordova, TN 38016-0631
Mailing Address1176 Vickery Ln Ste 200Cordova, TN 38016-0631 · (901) 255-4490 · Fax (901) 416-4490
Phone(901) 255-4490
Fax(901) 416-4490
Sole ProprietorYes
Enumeration DateSeptember 16, 2020
NPPES CertifiedSeptember 15, 2020
✔ NPI 1215543251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome Health AideNursing Service Related Providers
Taxonomy Code374U00000X
License✔ Licensed in TN · 170003871
Definition
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
1176 VICKERY LN STE 200, Cordova, TN 38016
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenyatta Pugh's NPI number?

The NPI number for Kenyatta Pugh is 1215543251. It was assigned to this individual provider in the NPPES registry on September 16, 2020.

Where is Kenyatta Pugh located?

Kenyatta Pugh practices at 1176 Vickery Ln Ste 200, Cordova, TN 38016. The listed phone number is (901) 255-4490.

What is Kenyatta Pugh's specialty?

The primary specialty registered for this NPI is Home Health Aide with taxonomy code 374U00000X.

When was this NPI record last updated?

The NPPES record for Kenyatta Pugh was last updated on September 16, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.