Individual
KELLY ANNE FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1425 PORTLAND AVE, ROCHESTER GENERAL HOSPITALIST GROUP, ROCHESTER, NY 14621
(585) 473-2200
Mailing address
1425 PORTLAND AVE, ROCHESTER GENERAL HOSPITALIST GROUP, ROCHESTER, NY 14621
(585) 922-5067
(585) 922-2908
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
015129
NY
Other
Enumeration date
10/26/2011
Last updated
09/26/2022
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