Individual
ASHTON HOLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
629 S PLUMMER AVE, CHANUTE, KS 66720-1928
(620) 432-5580
(620) 431-0434
Mailing address
629 S PLUMMER AVE, CHANUTE, KS 66720-1928
(620) 431-4000
(620) 431-7556
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-01658
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15-01658
STATE LICENSE NUMBER
KS
Enumeration date
11/04/2013
Last updated
04/21/2022
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