Ferguison, Kimberly D

Ferguison, Kimberly D is an individual health care provider with primary practice located at 3280 E Lanark Dr , Meridian ID 83642-5982. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Ferguison, Kimberly D can be contacted via phone (208) 377-4400.

Contact Information

Primary practice address
3280 E Lanark Dr Meridian ID 83642-5982
Phone: (208) 377-4400
Fax: (208) 377-4416
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X M9507 Idaho

Profile Details

NPI number 1356306740
LBN Legal business name Ferguison, Kimberly D
Credentials MD-PEDIATRICS
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Apr 25th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356306740 NPPES
Idaho Other 000010154462 BLUE SHIELD
Idaho MEDICAID 807354800 BLUE SHIELD
Idaho Other 807392600 BLUE SHIELD
Idaho Other 76552 BLUE SHIELD

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