Individual
KIRSTEN M AHNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2211 MAYFAIR DR STE 102, OWENSBORO, KY 42301-4569
(270) 688-1352
(270) 683-4313
Mailing address
2211 MAYFAIR DR STE 102, OWENSBORO, KY 42301-4569
(270) 688-1352
(270) 683-4313
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA224
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000598650
BCBS #
KY
05
—
9500224200
—
KY
Enumeration date
12/12/2008
Last updated
07/21/2022
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