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Individual
KEVIN E. FERRELL
Active
Individual
KEVIN E. FERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601007459
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5601007459
PHYSICIAN ASSISTANT TEMPORARY LICENSE
MI
Enumeration date
09/14/2015
Last updated
10/18/2022
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