Ferguson, Keenan L

Ferguson, Keenan L is an individual health care provider with primary practice located at 405 S Oklahoma Ave , Cherokee OK 73728-2545. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ferguson, Keenan L can be contacted via phone (580) 596-2800.

Contact Information

Primary practice address
405 S Oklahoma Ave Cherokee OK 73728-2545
Fax: (580) 596-2805
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4405 Oklahoma

Profile Details

NPI number 1154309466
LBN Legal business name Ferguson, Keenan L
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2006
Last updated Apr 24th, 2018 - about 6 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 1154309466 NPPES
Oklahoma MEDICAID 200088860A

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