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Individual

ASHLEY ELIZABETH BERRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
222 MEDICAL CIR, MOREHEAD, KY 40351-1179
(606) 783-6500
Mailing address
236 W MAIN ST, MOUNT STERLING, KY 40353-1348
(859) 404-7686
(859) 274-4459

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1698
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100186300
KY
Enumeration date
10/26/2011
Last updated
11/05/2021
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