Individual
LOIS BAKELY FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8905 HORTON DR, OVERLAND PARK, KS 66207-2016
(913) 645-9345
Mailing address
8905 HORTON DR, OVERLAND PARK, KS 66207-2016
(913) 645-9345
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
KS
Other
Enumeration date
01/25/2007
Last updated
07/08/2007
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