KIMBERLY Y. FERGUSON

PETERSBURG, VA
NPI1578899456
Former NameKIMBERLY Y. TANNOR
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: VA  0110003173)
Enumeration Date2009-10-27
Last Update Date2018-03-28
Business Address
KIMBERLY Y. FERGUSON PA
321C POPLAR DR
PETERSBURG, VA 23805-9306
Phone number: 804-733-5591
Mailing Address
KIMBERLY Y. FERGUSON PA
321C POPLAR DR
PETERSBURG, VA 23805-9306
Phone number: 804-733-5591
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