Individual
KENNETT D ASHER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D. O.
Contact information
Practice address
612 HWY 25 SOUTH, BLOOMFIELD, MO 63825-9566
(573) 568-7377
(573) 568-7320
Mailing address
612 HWY 25 SOUTH, BLOOMFIELD, MO 63825-9566
(573) 568-7377
(573) 568-7320
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R6947
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080030087
RR MEDICARE
MO
01
—
178227
HEALTHLINK
MO
05
—
240303008
—
MO
01
—
697138
ANTHEM BCBS
MO
Enumeration date
09/01/2005
Last updated
08/09/2023
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