Individual
DR. KEVIN R FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7155 LEE HWY STE 300, CHATTANOOGA, TN 37421-0802
(423) 648-9290
(423) 648-9291
Mailing address
7155 LEE HWY STE 300, CHATTANOOGA, TN 37421-0802
(423) 648-9290
(423) 648-9291
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD020503
TN
2084P0804X
Child & Adolescent Psychiatry Physician
MD020503
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0129073
BLUE CROSS
TN
01
—
125436100
US DEPARTMENT OF LABOR
—
05
—
3054903
—
TN
Enumeration date
08/29/2006
Last updated
03/23/2026
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