Individual
KENNETH E ASHLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
8001 YOUREE DR, SHREVEPORT, LA 71115-2302
(318) 212-3000
Mailing address
207 BAY HILLS DR, BENTON, LA 71006-9455
(318) 965-5586
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN077546
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1988758
—
LA
Enumeration date
11/09/2005
Last updated
07/31/2008
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