Individual
MS. KIMBERLY NICOLE FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
875 AAA BLVD STE C, NEWARK, DE 19713-3624
(302) 918-6400
(302) 543-6002
Mailing address
875 AAA BLVD STE C, NEWARK, DE 19713-3624
(302) 918-6400
(302) 543-6002
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C5-0011757
DE
Other
Enumeration date
07/13/2022
Last updated
07/13/2022
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