Individual
KELLY M ASHLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
364 HONEYSUCKLE ROAD, DOTHAN, AL 36305-1140
(334) 794-8656
(334) 702-7047
Mailing address
364 HONEYSUCKLE ROAD, DOTHAN, AL 36305-1140
(334) 794-8656
(334) 702-7047
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1-093975
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
515-15001
BCBS OF AL
AL
05
—
891005040
—
AL
Enumeration date
10/09/2012
Last updated
10/10/2012
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