Individual
KRYSTOL FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3625 FERN VALLEY RD, LOUISVILLE, KY 40219-1916
(502) 964-3381
Mailing address
8713 WILLIAM PENN WAY, LOUISVILLE, KY 40228-2563
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1151828
KY
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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