Provider Demographics
NPI:1093148413
Name:FUGETT, KYLE CHRISTOPHER (DVM)
Entity Type:Individual
Prefix:DR
First Name:KYLE
Middle Name:CHRISTOPHER
Last Name:FUGETT
Suffix:
Gender:M
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 S 20TH ST
Mailing Address - Street 2:
Mailing Address - City:ROGERS
Mailing Address - State:AR
Mailing Address - Zip Code:72758-1104
Mailing Address - Country:US
Mailing Address - Phone:479-631-7744
Mailing Address - Fax:479-631-7745
Practice Address - Street 1:4363 W WEDINGTON DR
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72704-5806
Practice Address - Country:US
Practice Address - Phone:479-444-6600
Practice Address - Fax:479-442-8387
Is Sole Proprietor?:No
Enumeration Date:2013-08-21
Last Update Date:2018-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA2889174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian