NPI | 1356122998 |
---|---|
Doing Business As | ASHLEY CLINIC |
Entity Type | Organization |
Authorized Contact | SHANA BENNETT Director Of Office Operations 620-365-8641 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 208000000X Pediatrics |
208600000X Surgery | |
208800000X Urology | |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2023-10-10 |
Last Update Date | 2023-10-10 |