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Individual
KIRK D ASHBURN II
Active
Individual
KIRK D ASHBURN II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.R.N.P.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
71001760A
IN
363L00000X
Nurse Practitioner
Primary
71001760A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000387509
ANTHEM PIN
IN
05
—
200207810
—
IN
01
—
P00333134
RAILROAD MEDICARE
IN
Enumeration date
07/05/2005
Last updated
07/21/2022
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