Individual
ASHLEY CHARLTON BOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
529 S JACKSON ST, LOUISVILLE, KY 40202-3229
(502) 562-4369
Mailing address
350 S DORSEY LN, LOUISVILLE, KY 40223-3574
(502) 321-8070
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3010591
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201404300
—
IN
05
—
7100444480
—
KY
Enumeration date
09/08/2016
Last updated
11/17/2017
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