Organization
ASHLEY CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT K THOMEN II M.D. (PHYSICIAN OWNER)
(620) 431-2500
Entity
Organization
Contact information
Practice address
505 S PLUMMER AVE, CHANUTE, KS 66720-1950
(620) 431-2500
(620) 431-4418
Mailing address
PO BOX 946, CHANUTE, KS 66720-0946
(620) 431-2500
(620) 431-4418
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207VX0000X
Obstetrics Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208000000X
Pediatrics Physician
—
—
208600000X
Surgery Physician
—
—
208800000X
Urology Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003879
BLUE CROSS/BLUE SHIELD
KS
05
—
100080330A
—
KS
Enumeration date
10/16/2006
Last updated
01/23/2018
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