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KELLY FERGUSON R.N.
>> Registered Nurse >> Nursing Service ProvidersRegistrant NPI Number: 1497969018
Individual Registrant: KELLY FERGUSON R.N.
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
609 LINCOLN STREET SITKA, AK 99835 US
Tel: 907-747-8599 Fax: --
Tel: 907-747-8599 Fax: --
Contact information for business:
PO BOX 2713 SITKA, AK 99835-2713 US
Tel: 907-747-8599 Fax: --
Tel: 907-747-8599 Fax: --
Registration Information:
NPI: 1497969018
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 163W00000X | Nursing Service Providers Registered Nurse | AK | 15969 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
