Individual
NKANYEZI NGWENYAMA FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1020 HITT STREET, COLUMBIA, MO 65212-0001
(573) 882-4800
(573) 884-0723
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
2022031229
MO
207N00000X
Dermatology Physician
40191
IA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
2022031229
MO
Other
Enumeration date
07/16/2010
Last updated
09/07/2022
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