Provider Demographics
NPI:1023289550
Name:KIDSFIRST PEDIATRICS, PLLC
Entity type:Organization
Organization Name:KIDSFIRST PEDIATRICS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:N
Authorized Official - Last Name:FERGUSSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-433-1555
Mailing Address - Street 1:46165 WESTLAKE DR
Mailing Address - Street 2:SUITE 210
Mailing Address - City:POTOMAC FALLS
Mailing Address - State:VA
Mailing Address - Zip Code:20165-5872
Mailing Address - Country:US
Mailing Address - Phone:703-433-1555
Mailing Address - Fax:703-444-9830
Practice Address - Street 1:46165 WESTLAKE DR
Practice Address - Street 2:SUITE 210
Practice Address - City:POTOMAC FALLS
Practice Address - State:VA
Practice Address - Zip Code:20165-5872
Practice Address - Country:US
Practice Address - Phone:703-433-1555
Practice Address - Fax:703-444-9830
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-12
Last Update Date:2008-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty