Provider Demographics
NPI:1801357454
Name:TUGUINAY, KELLY DUMAY POGEYED
Entity Type:Individual
Prefix:MR
First Name:KELLY DUMAY
Middle Name:POGEYED
Last Name:TUGUINAY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 MCDEWELL AVE APT 17
Mailing Address - Street 2:
Mailing Address - City:DANVERS
Mailing Address - State:MA
Mailing Address - Zip Code:01923-3335
Mailing Address - Country:US
Mailing Address - Phone:978-766-9741
Mailing Address - Fax:
Practice Address - Street 1:2 MCDEWELL AVE APT 17
Practice Address - Street 2:
Practice Address - City:DANVERS
Practice Address - State:MA
Practice Address - Zip Code:01923-3335
Practice Address - Country:US
Practice Address - Phone:978-766-9741
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-27
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center