ASHTON MAKAILA BERGH

LENEXA, KS
NPI1750890554
Former NameASHTON MAKAILA SHADFAR
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: KS  77893)
Enumeration Date2017-09-25
Last Update Date2021-09-13
Business Address
ASHTON MAKAILA BERGH FNP - BC, C
10951 LAKEVIEW AVE
LENEXA, KS 66219-1331
Phone number: 913-432-7200
Mailing Address
ASHTON MAKAILA BERGH FNP - BC, C
3990 W 255TH ST
LOUISBURG, KS 66053-6293
Phone number: 913-548-6230
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