Individual
ASHLEY GENE MAIRE FUNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2030 W BOULEVARD, KOKOMO, IN 46902-6079
(765) 454-0200
Mailing address
2030 W BOULEVARD, KOKOMO, IN 46902-6079
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
01076276A
IN
390200000X
Student in an Organized Health Care Education/Training Program
4301096244
MI
Other
Enumeration date
05/18/2010
Last updated
06/22/2022
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