Individual
KACIE FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
2920 FITCHRONA RD, FITCHBURG, WI 53719-1802
(608) 273-5126
Mailing address
431 W GORHAM ST APT 701, MADISON, WI 53703-2071
(816) 507-4026
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86083293
—
Other
Enumeration date
02/12/2019
Last updated
02/12/2019
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