Provider Demographics
NPI:1326305590
Name:FERREN, KATHERINE MCLEAN (MD)
Entity Type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:MCLEAN
Last Name:FERREN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1 SAINT VINCENT CIR STE 160
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-5406
Mailing Address - Country:US
Mailing Address - Phone:501-661-0067
Mailing Address - Fax:501-661-0038
Practice Address - Street 1:1 SAINT VINCENT CIR STE 160
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-5406
Practice Address - Country:US
Practice Address - Phone:501-661-0067
Practice Address - Fax:501-661-0038
Is Sole Proprietor?:No
Enumeration Date:2012-04-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ARE8998207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR219496001Medicaid