Whalio Doctors

NPI 1033746011

Kelli Ensley Ferguson, CNAII

Practitioner Technician/Technologist Charlotte, NC

Practice location

Address
2825 Randolph Rd, Charlotte, NC 28211-1018
Phone
(704) 377-1647
Mailing address
108 Blair Ln APT B, Bessemer City, NC 28016-9300

Registered specialties

Technician/Technologist Primary
Eye and Vision Services Providers Taxonomy 156F00000X Licence 71763 (NC)

Registry record

NPI
1033746011
Entity type
Individual
Sex (as registered)
Female
NPI issued
27 Mar 2020
Record last updated
27 Mar 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.