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Individual

ASHLEY MEFFORD ILES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
550 S JACKSON ST FL 3, LOUISVILLE, KY 40202-1622
(502) 852-1839
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 852-1839

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
51322
KY
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
51322
KY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300018430
IN
05
7100554950
KY
01
K270510
MEDICARE
KY
Enumeration date
05/01/2015
Last updated
03/12/2025
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