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NPI Code Detail

MEDICARE: RHONDA KAY FERGUSON

MEDICARE: RHONDA KAY FERGUSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1497363568
Entity Type Code : Individual
Provider Name (Legal Business Name) : RHONDA KAY FERGUSON
Provider Business Mailing Address
First Line : 4329 HUGHES BRANCH RD
Second Line :
City : HUNTINGTON
State : WV
Zip : 25701-9768
Country : US
Telephone Number : 304-733-1094
Fax Number : 304-733-1096
Provider Business Practice Location Address
First Line : 4329 HUGHES BRANCH RD
Second Line :
City : HUNTINGTON
State : WV
Zip : 25701-9768
Country : US
Telephone Number : 304-733-1094
Fax Number : 304-733-1096
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2020
Last Update Date : 07/15/2020

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Directions to “ RHONDA KAY FERGUSON ” Practice Location

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