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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1790714954 NPPES
Alabama MEDICAID 130850
Alabama Other P01233203
Alabama MEDICAID 04034504

Popular Providers