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: |