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Kenneth E Ferslew, PHD
Clinical Laboratory Director (Non-physician) in Mountain Home, Tennessee
NPI 1164608857

Kenneth E Ferslew is a Clinical Laboratory Director (Non-physician) based in Mountain Home, TN and is specialized in Clinical Laboratory Director, Non-physician. Kenneth E Ferslew practices in Mountain Home, TN and has the professional credentials of PHD. The NPI Number for Kenneth E Ferslew is 1164608857 and holds a License No. ML9814 (Tennessee).

The current practice location address for Kenneth E Ferslew is Building 6, Magnolia And Fifth, Mountain Home, TN and can be reached out via phone at 423-439-6424. You can also correspond with Kenneth E Ferslew through the mailing address at PO BOX 699, MOUNTAIN HOME, TN - 37684-0699 (mailing address contact number: 423-439-6424).

Location: Building 6, Magnolia And Fifth, Mountain Home, TN, 37684-0699
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164608857
Provider Name
Kenneth E Ferslew
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
Building 6, Magnolia And Fifth, Mountain Home, TN, 37684-0699
Phone Number
423-439-6424
Fax Number
Provider Enumeration Date
01/14/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3401264 01 TN LAB MEDICARE PIN
institution
Provider Business Practice Location Address Details
Address
Building 6, Magnolia And Fifth
City
Mountain Home
State
Tennessee
Zip
37684-0699
Phone Number
423-439-6424
Fax Number
person
Provider Business Mailing Address Details
Address
Building 6, Magnolia And Fifth
City
Mountain Home
State
Tennessee
Zip
37684-0699
Phone Number
423-439-6424
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Pathology
Speciality
Clinical Laboratory Director, Non-physician
Taxonomy
247ZC0005X
License No.
ML9814 (Tennessee)
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.
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