Individual
ASHLEY NOAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4101 S 4TH ST, LEAVENWORTH, KS 66048-5014
(913) 682-2000
Mailing address
4101 S 4TH ST, LEAVENWORTH, KS 66048-5014
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
022681
NY
Other
Enumeration date
05/29/2014
Last updated
02/02/2023
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