Individual
DR. JOHN T FERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.,F.A.C.C.
Contact information
Practice address
401 E SPRUCE ST, GARDEN CITY, KS 67846
(620) 272-2431
Mailing address
311 E SPRUCE ST, GARDEN CITY, KS 67846
(620) 275-3700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
04-30693
KS
207RC0000X
Cardiovascular Disease Physician
Primary
04-30693
KS
207RI0011X
Interventional Cardiology Physician
04-30693
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01246529
—
CO
01
—
04-30693
KANSAS LICENSE
KS
05
—
100324280B
—
KS
Enumeration date
06/23/2005
Last updated
12/01/2010
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