Ferguson, Kevin L
Ferguson, Kevin L is an individual health care provider with primary practice located at 1400 E Church St , Santa Maria CA 93454-5906. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine. Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine is his primary health care specialty. Ferguson, Kevin L can be contacted via phone (805) 548-1550.Contact Information
Primary practice address
1400 E Church St
Santa Maria CA 93454-5906
Phone: (805) 548-1550
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Hematology | 207ZH0000X | A71757 | California |
Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine | 207ZP0105X | A71757 | California |
Profile Details
NPI number | 1801823067 |
---|---|
LBN Legal business name | Ferguson, Kevin L |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 26th, 2006 |
Last updated | Sep 7th, 2023 - about last year |
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 | 1801823067 | NPPES |
California | MEDICAID | 00A717570 | |
California | MEDICAID | GR0058760 | |
California | MEDICAID | LAB43503F |
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