Nugent, Kenneth Michael
Nugent, Kenneth Michael is an individual health care provider with primary practice located at 3601 4Th St , Lubbock TX 79430-9410. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Nugent, Kenneth Michael can be contacted via phone (806) 743-3150.Contact Information
Primary practice address
3601 4Th St
Lubbock TX 79430-9410
Phone: (806) 743-3150
Fax: (806) 743-3168
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | G7699 | Texas |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | G7699 | Texas |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | G7699 | Texas |
Profile Details
| NPI number | 1417946567 |
|---|---|
| LBN Legal business name | Nugent, Kenneth Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 20th, 2005 |
| Last updated | Dec 2nd, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417946567 | NPPES |
| New Mexico | MEDICAID | U4765 | |
| New Mexico | Other | 120541100 | |
| New Mexico | Other | A035 | |
| New Mexico | Other | 43974 | |
| New Mexico | Other | 85E051 | |
| New Mexico | MEDICAID | 120541101 | |
| New Mexico | MEDICAID | 136092706 | |
| New Mexico | Other | M0057696 | |
| New Mexico | MEDICAID | 100158220A | |
| New Mexico | Other | 80767Z | |
| New Mexico | MEDICAID | 136092701 | |
| New Mexico | MEDICAID | 43974 |
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