Individual
MRS. ASHLEY ARNETT GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
148 SKYVIEW DR, MOUNT STERLING, KY 40353-1496
(859) 499-0717
(859) 499-0926
Mailing address
148 SKYVIEW DR, MT STERLING, KY 40353-1496
(859) 499-0717
(859) 499-2926
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA1448
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000644197
ANTHEM
KY
01
—
12052669
CAQH
—
05
—
7100101110
—
KY
Enumeration date
01/06/2010
Last updated
11/05/2014
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