Provider Demographics
NPI:1699197863
Name:FERST, KEVIN (LAC)
Entity Type:Individual
Prefix:MR
First Name:KEVIN
Middle Name:
Last Name:FERST
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 CHESTNUT DR UNIT F
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03110-5565
Mailing Address - Country:US
Mailing Address - Phone:603-465-1236
Mailing Address - Fax:
Practice Address - Street 1:10 CHESTNUT DR UNIT F
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:NH
Practice Address - Zip Code:03110-5565
Practice Address - Country:US
Practice Address - Phone:603-465-1236
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-01-07
Last Update Date:2023-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH333171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist