Individual
MR. KENNETH ASHLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
35 EAGLE DR, FARMVILLE, VA 23901-2859
(434) 315-2100
Mailing address
643 COUNTRY ESTATES ROAD, APPOMATTOX, VA 24522
(434) 352-3731
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126000695
VA
Other
Enumeration date
04/19/2006
Last updated
07/27/2014
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