Fergus, Kathryn Rose

Fergus, Kathryn Rose is an individual health care provider with primary practice located at 1319 Punahou St , Honolulu HI 96826-1001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Fergus, Kathryn Rose can be contacted via phone (808) 983-6108.

Contact Information

Primary practice address
1319 Punahou St Honolulu HI 96826-1001
Phone: (808) 983-6108
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME100971 Florida
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 17279 Hawaii

Profile Details

NPI number 1871554725
LBN Legal business name Fergus, Kathryn Rose
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2006
Last updated Jul 21st, 2014 - about 10 years ago

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 1871554725 NPPES
Florida Other 31529 BC/BS
Florida Other 7949594 BC/BS
Florida Other 1299176 BC/BS
Florida MEDICAID 280708400 BC/BS
Florida Other 460084 BC/BS
Florida Other 316281 BC/BS

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