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Individual

MRS. ASHLEY PENROD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
624 MAYSVILLE RD STE C, MOUNT STERLING, KY 40353-9767
(859) 499-4351
Mailing address
114 RONAMEKI DR, MOUNT STERLING, KY 40353-1338
(606) 776-6906

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT755
KY

Other

Enumeration date
05/12/2014
Last updated
05/12/2014
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