Ashley, Kenneth E

Ashley, Kenneth E is an individual health care provider with primary practice located at 8001 Youree Dr , Shreveport LA 71115-2302. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Ashley, Kenneth E can be contacted via phone (318) 212-3000.

Contact Information

Primary practice address
8001 Youree Dr Shreveport LA 71115-2302
Phone: (318) 212-3000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN077546 Louisiana

Profile Details

NPI number 1083695654
LBN Legal business name Ashley, Kenneth E
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated Jul 31st, 2008 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083695654 NPPES
Louisiana MEDICAID 1988758

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