Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelly D Pucek, MD

Individual provider Orthopaedic Surgery Physician · NPI 1710086335

Kelly D Pucek, MD is an Orthopedic Surgery in Jackson, Tennessee. Graduated from University of Arkansas College of Medicine in 1992, 34 years ago. Practices with Health Facilities Rehab Services Inc, a 149-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
34
Trained at
University of Arkansas College of Medicine
Licensed in
TN
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

24 Physicians Dr
Jackson, TN 38305-2070
Phone: (731) 661-9825
Fax: (731) 668-6757
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence MD30606 (TN)
Sports Medicine (Orthopaedic Surgery) Physician Taxonomy 207XX0005X · Licence MD30606 (TN)

Record details

NPI number1710086335
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 21, 2006
Last updated in NPPESNovember 2, 2015
Mailing address24 Physicians Dr, Jackson, TN 38305-2070

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolUNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduated 1992 (34 years in practice)
Group practice Health Facilities Rehab Services Inc — 149 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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