Individual
KENNETH F. ASHLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1101 NOTT ST, SCHENECTADY, NY 12308-2425
(518) 243-4000
Mailing address
1462 ERIE BLVD, SUITE 2, SCHENECTADY, NY 12305-1026
(518) 243-1500
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
131933
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000046371
GHI-HMO
NY
01
—
000472123001
BLUE SHIELD
NY
01
—
050922000005
FIDELIS
NY
01
—
10024351
CDPHP
NY
01
—
10503622
CAQH
NY
01
—
4799821
GHI-PPO
NY
01
—
5192147
AETNA
NY
01
—
589101
BLUE CROSS
NY
01
—
924015
MVP
NY
Enumeration date
04/28/2006
Last updated
07/08/2007
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