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Individual

DR. KYLE M FERGUSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1937 OLD MAIN ST STE 1, MAYSVILLE, KY 41056-8956
(606) 759-7883
(606) 759-0683
Mailing address
601 PERIMETER DR STE 200, LEXINGTON, KY 40517-4121
(859) 278-9393

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
04404
KY
390200000X
Student in an Organized Health Care Education/Training Program
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100594560
KY
Enumeration date
10/23/2014
Last updated
05/12/2021
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