Individual
ASHLEY KAYLEENA KAAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
317 N KING ST STE A, HENDERSONVILLE, NC 28792-4349
(828) 693-3344
(828) 692-2487
Mailing address
PO BOX 360, SYLVA, NC 28779-0360
(888) 339-6065
(828) 538-4441
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
265965
NC
363LG0600X
Gerontology Nurse Practitioner
265965
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679976088
—
NC
01
—
NCK950A
MEDICARE PTAN
NC
Enumeration date
09/30/2014
Last updated
05/21/2020
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