Kenneth E Ferslew in Mountain Home - Clinical Laboratory Director, Non-physician

Kenneth E Ferslew - NPI 1164608857

Kenneth E Ferslew is a Clinical Laboratory Director, Non-physician in Mountain Home, Tennessee. Kenneth E Ferslew practices all healthcare services and medical treatments related to Clinical Laboratory Director, Non-physician. The NPI Number for Kenneth E Ferslew is 1164608857. The last update date is 2008-01-14.

Kenneth E Ferslew's current location address is Po Box 699, Mountain Home, Tennessee. You can contact this provider via phone number 4234396424. The mailing address for Kenneth E Ferslew is Po Box 699, Mountain Home, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth E Ferslew
Address Po Box 699, Mountain Home, Tennessee
Phone Number 4234396424
Fax Number
Sole Proprietor N
Credentials PHD

NPI Number Detail

NPI Number 1164608857
Provider Enumeration Date 2008-01-14
Last Updated Date 2008-01-14

Provider Mailing Address Detail

Address Po Box 699
City Mountain Home
State Tennessee (TN)
Post Code 376840699
Phone Number 4234396424
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical Laboratory Director, Non-physician
Taxonomy 247Zc0005X
Licence No ML9814
Definition:
An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3401264 TN LAB MEDICARE PIN

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FAQs about Kenneth E Ferslew

What is the unique 10-digit identification code issued to Kenneth E Ferslew by the Centers for Medicare & Medicaid Services?

The Kenneth E Ferslew has been assigned the NPI (National Provider Identifier) 1164608857 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical address where Kenneth E Ferslew is geographically located?

The Kenneth E Ferslew is physically situated at the following location: Po Box 699, Mountain Home, TN, 376840699.

What is the area of specialization for Kenneth E Ferslew, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Kenneth E Ferslew is Clinical Laboratory Director, Non-physician, and the corresponding taxonomy code that categorizes this area of expertise is 247Zc0005X.

On what date did the Kenneth E Ferslew receive its 1164608857 assignment from the Centers for Medicare & Medicaid Services?

The Kenneth E Ferslew was assigned its 1164608857 by the Centers for Medicare & Medicaid Services on 2008-01-14.

As of what date was the information pertaining to Kenneth E Ferslew, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Kenneth E Ferslew, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-01-14.

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