Individual
DR. KEVIN BRUCE FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-4990
Mailing address
7021 HARBOUR VIEW BLVD, SUFFOLK, VA 23435-2869
(757) 953-4990
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202207238
VA
183500000X
Pharmacist
RPH58515
CA
Other
Enumeration date
11/08/2011
Last updated
02/01/2022
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