Kalene Lee Pink Ferguson PA-C

NPI 1720319049 - Physician Assistant - 363A00000X

NPI Details
NPI 1720319049
Gender Female
Enumeration Date 01/26/2010
Last Updated 11/04/2012
Entity Type Individual
Active Over 6 years ago
Practice Location
982405 NEBRASKA MEDICAL CTR
OMAHA NE, 68198-2405, US
Phone (402) 398-6161
Fax
Business Location
1316 N 52ND ST
OMAHA NE, 68132-1420, US
Phone (402) 202-1724
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Nebraska
License Number 1485
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According to our database, Kalene Lee Pink Ferguson PA-C NPI is 1720319049, taxonomy code is 363A00000X and license number is 1485, license state is located at Nebraska. Kalene Lee Pink Ferguson PA-C physically located at 982405 Nebraska Medical Ctr, Omaha NE, 68198-2405. NPI Number Kalene Lee Pink Ferguson PA-C has the Individual type.

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1720319049 NPI number is provided on an as is basis without warranty of any kind. 1720319049 is maintained by the National Plan & Provider Enumeration System. The contents of Kalene Lee Pink Ferguson PA-C are for informational purposes only.