Individual
MRS. ASHLEY CAMPBELL LOUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
231 E CHESTNUT ST, LOUISVILLE, KY 40202-1821
(502) 629-6000
(502) 852-8556
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6879
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AM0700X
Medical Physician Assistant
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100877930
—
KY
01
—
PA3095
STATE LICENSE
KY
Enumeration date
03/25/2022
Last updated
02/28/2023
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