Ferguson, Kashae

Ferguson, Kashae is an sole proprietor health care provider with primary practice located at 704 Gold Hill Rd Suite 107, Fort Mill SC 29715-8906. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Ferguson, Kashae can be contacted via phone (803) 835-0420.

Contact Information

Primary practice address
704 Gold Hill Rd Suite 107 Fort Mill SC 29715-8906
Fax: (704) 512-2231
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 26NJ00487500 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 19382 South Carolina

Profile Details

NPI number 1467878306
LBN Legal business name Ferguson, Kashae
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 17th, 2014
Last updated Dec 28th, 2015 - about 9 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 1467878306 NPPES
South Carolina MEDICAID NP3233

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