Individual
MS. KIMELA J FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
4604 YORK RD, BALTIMORE, MD 21212-4726
(443) 802-5130
Mailing address
34 YORK CT, BALTIMORE, MD 21218-1248
(443) 802-5130
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R161985
MD
363L00000X
Nurse Practitioner
RN1027130
DC
Other
Enumeration date
04/23/2018
Last updated
02/01/2021
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