Individual
MR. ADAM COLE ASHBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1950 DIAMOND PKWY, KANSAS CITY, MO 64116-4321
(573) 645-8863
Mailing address
8124 N DRURY AVE, KANSAS CITY, MO 64119-7835
(573) 645-8863
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2021012472
MO
363LA2100X
Acute Care Nurse Practitioner
2021012472
MO
363LA2200X
Adult Health Nurse Practitioner
2021012472
MO
363LG0600X
Gerontology Nurse Practitioner
2021012472
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2021012472
STATE LICENSE
MO
Enumeration date
04/09/2021
Last updated
04/10/2021
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