NPI 1063764447 · live from the CMS NPI Registry
Kelly M Ashley, CPNP
Nurse Practitioner, Pediatrics in Dothan, AL. National Provider Identifier 1063764447, active.
NPI record
| NPI | 1063764447 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 364 Honeysuckle Road, Dothan, AL 36305 |
| Practice phone | 334-794-8656 |
| Enumerated | October 9, 2012 |
| Last updated | October 10, 2012 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 1-093975 (AL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.