Individual
KIMBERLY FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4103 REYNOLDS PARK ROAD, PARAGOULD, AR 72450-2118
(870) 565-7988
Mailing address
P.O. BOX 1124, PARAGOULD, AR 72451
(870) 656-7988
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/10/2020
Last updated
09/10/2020
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