Doctor Name: | MRS. KIMBERLY ANN FERLAND |
NPI Number: | 1073584884 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, OTR/L, CHT |
License Number: | 103615 |
Business Practice Address: | 620 John Paul Jones Circle Naval Medical Center Portsmouth Portsmouth, VA - 23708 |
Business Phone Number: | 7579535419 |
Business Fax Number: | |
Mailing Address: | 617 Shenandoah St, PORTSMOUTH |
State: | VA |
Postal Code: | 237072327 |
Phone Number: | 7579679907 |
Fax Number: | |
NPI Enumeration Date: | 01/30/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 171000000X |
License Number: | 103615 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Military Health Care Provider |
Taxonomy Specialization: | |
Taxonomy Definition: | Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |