Dr KELLY F FUGATE is a female medical professional, specializing in Nurse Practitioner. She graduated in 2015 from East Tennessee State University, Quillen-dishner College Of Medicine.
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
320 VALLEY ST
ABINGDON
VA
242102728
Tel: 2766763360
| Npi | 1629442694 |
| Pac Id | 5991009193 |
| Professional Enrollment Id | I20160209001517 |
| Last Name | FUGATE |
| First Name | KELLY |
| Middle Name | F |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | EAST TENNESSEE STATE UNIVERSITY, QUILLEN-DISHNER COLLEGE OF MEDICINE |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
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| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | BLUE RIDGE MEDICAL MANAGEMENT CORPORATION |
| Group Practice Pac Id | 9739099441 |
| Number Of Group Practice Members | 340 |
| Line 1 Street Address | 320 VALLEY ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | ABINGDON |
| State | VA |
| Zip Code | 242102728 |
| Phone Number | 2766763360 |
| Hospital Affiliation Ccn 1 | 490053 |
| Hospital Affiliation Lbn 1 | JOHNSTON MEMORIAL HOSPITAL |
| Hospital Affiliation Ccn 2 | 490002 |
| Hospital Affiliation Lbn 2 | RUSSELL COUNTY MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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