Kenneth Pugh in Sacramento - Licensed Psychiatric Technician
Kenneth Pugh - NPI 1518065572
Kenneth Pugh is a Licensed Psychiatric Technician in Sacramento, California. Kenneth Pugh practices all healthcare services and medical treatments related to Licensed Psychiatric Technician. The NPI Number for Kenneth Pugh is 1518065572. The last update date is 2007-07-08.
Kenneth Pugh's current location address is 2150 Stockton Blvd, Sacramento, California. You can contact this provider via phone number 9168751000 and fax number 9168751006. The mailing address for Kenneth Pugh is 2150 Stockton Blvd, Sacramento, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Pugh |
|---|---|
| Address | 2150 Stockton Blvd, Sacramento, California |
| Phone Number | 9168751000 |
| Fax Number | 9168751006 |
| Sole Proprietor | N |
| Credentials | LPT |
NPI Number Detail
| NPI Number | 1518065572 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2150 Stockton Blvd |
|---|---|
| City | Sacramento |
| State | California (CA) |
| Post Code | 958171337 |
| Phone Number | 9168751000 |
| Fax Number | 9168751006 |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Psychiatric Technician |
|---|---|
| Taxonomy | 167G00000X |
| Licence No | PT26022 |
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Definition: An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psych |
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Post Comment/ Review Below
What is the Kenneth Pugh's 1518065572?
The Kenneth Pugh's NPI (National Provider Identifier) Number is 1518065572. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Kenneth Pugh's facilities are geographically located?
The facilities of Kenneth Pugh are physically situated at the following location: 2150 Stockton Blvd, Sacramento, CA, 958171337.
What is Kenneth Pugh's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kenneth Pugh is Licensed Psychiatric Technician, and the taxonomy classification code that categorizes this area of expertise is 167G00000X.
On what date did Kenneth Pugh receive its 1518065572 assignment from the Centers for Medicare & Medicaid Services?
The Kenneth Pugh was assigned its 1518065572 on 2006-09-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Kenneth Pugh's details last updated?
The information pertaining to the Kenneth Pugh, including its address, specialty, and other details, was most recently updated on 2007-07-08.