Ferguson, Kelly K
Ferguson, Kelly K is an individual health care provider with primary practice located at 212 State Street , Fort Scott KS 66701-2031. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ferguson, Kelly K can be contacted via phone (620) 223-5030.Contact Information
Primary practice address
212 State Street
Fort Scott KS 66701-2031
Phone: (620) 223-5030
Fax: (620) 223-1650
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | LCP 912 | Kansas |
Profile Details
| NPI number | 1447302062 |
|---|---|
| LBN Legal business name | Ferguson, Kelly K |
| Credentials | LMLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 16th, 2007 |
| Last updated | Aug 9th, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447302062 | NPPES |
| Kansas | MEDICAID | 200462390A |
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