Individual
KENNETH H FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2030 SUTTER PL, SUITE 1000, DAVIS, CA 95616-6212
(530) 750-5995
(530) 750-5905
Mailing address
10470 OLD PLACERVILLE RD, SUITE 100, SACRAMENTO, CA 95827-2539
(855) 771-0335
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
0101058329
VA
208800000X
Urology Physician
Primary
A90492
CA
Other
Enumeration date
10/14/2005
Last updated
03/20/2020
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