Individual
KALENE LEE PINK FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1314 N 205TH ST STE B, ELKHORN, NE 68022-4753
(402) 658-7812
Mailing address
21848 HILLANDALE RD, ELKHORN, NE 68022-1703
(402) 202-1724
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1485
NE
Other
Enumeration date
01/26/2010
Last updated
07/11/2025
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