Individual
ASHLEY KOMAREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 N PARK AVE, ELLINWOOD, KS 67526-1452
(620) 564-3771
Mailing address
208 N HUMBOLT AVE, ELLINWOOD, KS 67526-1542
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
132085
KS
363LF0000X
Family Nurse Practitioner
Primary
53-84466-012
KS
Other
Enumeration date
11/04/2024
Last updated
06/13/2025
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