Provider Demographics
NPI:1396036810
Name:TODD-FERGUSON, LINDA KAY (DC)
Entity type:Individual
Prefix:DR
First Name:LINDA
Middle Name:KAY
Last Name:TODD-FERGUSON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:LINDA
Other - Middle Name:KAY
Other - Last Name:TODD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:7350 AIRLINE RD
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:KY
Mailing Address - Zip Code:42420-8874
Mailing Address - Country:US
Mailing Address - Phone:270-844-8162
Mailing Address - Fax:270-697-7980
Practice Address - Street 1:7350 AIRLINE RD
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:KY
Practice Address - Zip Code:42420-8874
Practice Address - Country:US
Practice Address - Phone:270-844-8162
Practice Address - Fax:270-697-7980
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-02
Last Update Date:2019-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY5286111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor