Individual
ASHLEE CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2944 BRECKENRIDGE LN, LOUISVILLE, KY 40220-1409
(502) 893-0159
Mailing address
2944 BRECKENRIDGE LN, LOUISVILLE, KY 40220-1409
(502) 893-0159
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11971
GA
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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