Ferguson, Kevin R

Ferguson, Kevin R is an sole proprietor health care provider with primary practice located at 7155 Lee Hwy Ste 300 , Chattanooga TN 37421-0802. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Ferguson, Kevin R can be contacted via phone (423) 648-9290.

Contact Information

Primary practice address
7155 Lee Hwy Ste 300 Chattanooga TN 37421-0802
Phone: (423) 648-9290
Fax: (423) 648-9291
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X MD020503 Tennessee
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD020503 Tennessee

Profile Details

NPI number 1164530036
LBN Legal business name Ferguson, Kevin R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 29th, 2006
Last updated Mar 2nd, 2022 - about 4 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 1164530036 NPPES
Other 125436100 US DEPARTMENT OF LABOR
MEDICAID 3054903 US DEPARTMENT OF LABOR
Other 0129073 US DEPARTMENT OF LABOR

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