(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003550047
Provider Name: KAILIN FERGUSON
Entity Type: Individual
Taxonomy Code: 3747P1801X
Specialty: Technician
License Number:
Most Important Dates
Enumeration Date: 04/26/2022
Last Updated: 04/26/2022
Provider Practice Location
12 S CRIM AVE
BELINGTON
WV
262508345
Practice Location Phone/Fax
Phone: 3048230223
Fax:
Provider Mailing Location
PO BOX 92
BELINGTON
WV
262500092
Provider Mailing Phone/Fax
Phone:
Fax: