Individual
KELLY FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
609 LINCOLN STREET, SITKA, AK 99835
(907) 747-8599
Mailing address
PO BOX 2713, SITKA, AK 99835-2713
(907) 747-8599
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
15969
AK
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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