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Individual

KEVIN L FERGUSON

Active
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Individual

KEVIN L FERGUSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
A71757
CA
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
A71757
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A717570
CA
05
GR0058760
CA
05
LAB43503F
CA
Enumeration date
06/26/2006
Last updated
09/07/2023
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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