Individual
ASHLEY DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
322 FRONTIER BLVD, STANFORD, KY 40484-7730
(606) 365-2197
Mailing address
322 FRONTIER BLVD, STANFORD, KY 40484-7730
(606) 365-2197
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790731081
—
KY
Enumeration date
09/11/2017
Last updated
07/21/2022
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