Kylan Leigh Ferguson
Individual provider Active NPI Registered Nurse · Buffalo, TX
NPI 1851068720 · NPPES record last updated Aug 26, 2021
Key facts
- NPI
- 1851068720
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 1022556 (TX)
- Practice address
- 18057 FM 832
Buffalo, TX 75831-6208 - Phone
- (903) 388-4349
- NPI assigned
- Aug 26, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1022556 | TX | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1022556 | TX | Yes |
Addresses
Primary practice location
18057 FM 832
Buffalo, TX 75831-6208
Mailing address
18057 FM 832
Buffalo, TX 75831-6208
Phone (903) 388-4349
Other providers in Buffalo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.