Individual
MR. KENNETH L FERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
995 PRINCE FREDERICK BLVD, SUITE 204, PRINCE FREDERICK, MD 20678-3198
(410) 535-5855
(410) 535-6574
Mailing address
1306 CONCOURSE DR STE 201, LINTHICUM HEIGHTS, MD 21090-1033
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0005630
MD
Other
Enumeration date
08/25/2015
Last updated
10/18/2023
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