Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 3009908 | KY |
NPI | 1003281460 |
---|---|
Provider Name | Leah D Ashby |
First Address | Louisville, KY 40202-1434 |
Second Address | Louisville, KY 40202-1882 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/12/2015 |
Last Update Date | 26/04/2016 |