Ferguson, Kevin John

Ferguson, Kevin John is an individual health care provider with primary practice located at 955 S Bailey Ave , South Haven MI 49090-6743. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Ferguson, Kevin John can be contacted via phone (269) 639-5271.

Contact Information

Primary practice address
955 S Bailey Ave South Haven MI 49090-6743
Phone: (269) 639-5271
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704218229 Michigan

Profile Details

NPI number 1407056013
LBN Legal business name Ferguson, Kevin John
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2007
Last updated Nov 22nd, 2016 - about 8 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1407056013 NPPES
Michigan Other 1407056013 NPI

Popular Providers