Individual
MRS. KATHRYN ROSE FERGUS
Active
Individual
MRS. KATHRYN ROSE FERGUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
17279
HI
208000000X
Pediatrics Physician
ME100971
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1299176
CIGNA
—
05
—
280708400
—
FL
01
—
31529
BC/BS
FL
01
—
316281
AVMED
—
01
—
460084
STAYWELL/HEALTHEASE
—
01
—
7949594
AETNA
—
Enumeration date
03/30/2006
Last updated
07/21/2014
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