Ashley, Kellan E
Ashley, Kellan E is an individual health care provider with primary practice located at 2500 N State Street Cardiology, Jackson MS 39216-4500. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is her primary health care specialty. Ashley, Kellan E can be contacted via phone (601) 984-5678.Contact Information
Primary practice address
2500 N State Street Cardiology
Jackson MS 39216-4500
Phone: (601) 984-5678
Fax: (601) 984-5638
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 57.011859 | Ohio |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 18726 | Mississippi |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 33296 | Alabama |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 33296 | Alabama |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 18726 | Mississippi |
Profile Details
| NPI number | 1790714954 |
|---|---|
| LBN Legal business name | Ashley, Kellan E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 1st, 2006 |
| Last updated | Oct 6th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790714954 | NPPES |
| Alabama | MEDICAID | 130850 | |
| Alabama | Other | P01233203 | |
| Alabama | MEDICAID | 04034504 |
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