Individual
DR. KEVIN WIMBERLEY FERGUSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 E BYRD ST, RICHMOND, VA 23219-3921
(804) 663-6008
Mailing address
8654 RIO GRANDE RD, RICHMOND, VA 23229-7823
(804) 740-7133
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101040026
VA
Other
Enumeration date
02/11/2007
Last updated
11/04/2012
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