IndividualActive
Kimberly Ferguson, PA-C
NPI 1629702733 · Medical Physician Assistant · Newark, DE
Provider details
- NPI number
- 1629702733
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- C5-0011757 (DE)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
875 Aaa Blvd Ste C
Newark, DE 19713-3624
Phone: (302) 918-6400
Fax: (302) 543-6002
Approximate (ZIP-level) locationGet directions
Mailing address
875 Aaa Blvd Ste C
Newark, DE 19713-3624
Registry dates
- Enumerated
- 2022-07-13
- Last updated
- 2022-07-13
- Certified
- 2022-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.