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Individual

MR. DAVID MICHAEL ASHBURN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
2205 SOUTH 4TH STREET, LEAVENWORTH, KS 66048-4508
(913) 682-1189
(913) 772-0127
Mailing address
2205 SOUTH 4TH STREET, LEAVENWORTH, KS 66048-4508
(913) 682-1189
(913) 772-0127

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
14056430021
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9159788101
KS
Enumeration date
05/08/2006
Last updated
07/08/2007
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