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

Kenyatta Pugh

Individual provider Home Health Aide · NPI 1215543251

Kenyatta Pugh is a Home Health Aide in Cordova, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2020
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Practice location Address checks out

1176 Vickery Ln Ste 200
Cordova, TN 38016-0631
Phone: (901) 255-4490
Fax: (901) 416-4490
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Health Aide (primary) Taxonomy 374U00000X · Licence 170003871 (TN)

Record details

NPI number1215543251
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 16, 2020
Last updated in NPPESSeptember 16, 2020
Certification dateSeptember 15, 2020
Mailing address1176 Vickery Ln Ste 200, Cordova, TN 38016-0631

Other providers in Cordova