Individual
KAYLA ASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1555 NORTHWAY DR STE 100, SAINT CLOUD, MN 56303-1258
(320) 240-3114
Mailing address
14468 170TH ST, MILACA, MN 56353-3219
(320) 291-9388
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2151012
MN
Other
Enumeration date
08/06/2018
Last updated
08/06/2018
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