Individual
KEVIN E. FERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
50973 COUNTY ROAD 681, LAWRENCE, MI 49064-9048
(269) 241-2220
(269) 674-4239
Mailing address
50973 COUNTY ROAD 681, LAWRENCE, MI 49064-9048
(517) 898-7718
(269) 639-2818
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601007459
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5601007459
PHYSICIAN ASSISTANT TEMPORARY LICENSE
MI
Enumeration date
09/14/2015
Last updated
10/18/2022
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