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ASHLEY ELIZABETH KILLINDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
200 ABRAHAM FLEXNER WAY, LOUISVILLE, KY 40202-2877
(502) 569-7983
(502) 589-4989
Mailing address
100 E LIBERTY ST STE 800, LOUISVILLE, KY 40202-1428
(502) 569-7983
(502) 589-4989

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA1155
KY
363AM0700X
Medical Physician Assistant
Primary
PA1155
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100198480
KY
01
P02069020
MEDICARE RR
KY
Enumeration date
09/23/2008
Last updated
09/13/2018
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