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Individual

ASHLEY B MITTLESTEADT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
401 E CHESTNUT ST, SUITE 2, LOUISVILLE, KY 40202-5700
(502) 588-6000
Mailing address
401 E CHESTNUT ST, LOUISVILLE, KY 40202-5700
(502) 588-6000

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1609
KY
363AM0700X
Medical Physician Assistant

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100155360
KY
Enumeration date
12/22/2010
Last updated
12/31/2025
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