Pupkova, Lyudmila Stepanovna

Pupkova, Lyudmila Stepanovna is an individual health care provider with primary practice located at 210 Blackgold Blvd Suite 102, Hazard KY 41701. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Pupkova, Lyudmila Stepanovna can be contacted via phone (606) 487-0885.

Contact Information

Primary practice address
210 Blackgold Blvd Suite 102 Hazard KY 41701
Phone: (606) 487-0885
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 25MA07458500 New Jersey
Allopathic & Osteopathic Physicians / Surgery 208600000X 228588 New York
Allopathic & Osteopathic Physicians / Surgery 208600000X 43967KY Kentucky
Allopathic & Osteopathic Physicians / Surgery 208600000X MD430562 Pennsylvania

Profile Details

NPI number 1164423109
LBN Legal business name Pupkova, Lyudmila Stepanovna
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2005
Last updated Nov 18th, 2011 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164423109 NPPES
Kentucky MEDICAID 7100162020

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