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Individual
MIKI L FERGUSON
Active
Individual
MIKI L FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3007704
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000802747
ANTHEM - NNIKY
KY
01
—
144543
SIHO - NNIKY
KY
05
—
201140060
—
IN
01
—
50047890
PASSPORT - NNI
KY
05
—
7100234060
—
KY
Enumeration date
01/29/2013
Last updated
05/01/2025
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