Organization
ASHLAND HOSPITAL COPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMIE D NIEMER (CREDENTIALING MANAGER)
(606) 408-9565
Entity
Organization
Contact information
Practice address
617 23RD ST STE 212, ASHLAND, KY 41101-2883
(606) 408-8485
(606) 324-1351
Mailing address
617 23RD ST STE 212, ASHLAND, KY 41101-2883
(606) 408-8485
(606) 324-1351
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
09/09/2025
Last updated
10/31/2025
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