Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | 3009127 | KY |
NPI | 1043686561 |
---|---|
Provider Name | Mrs. Ashley Barton |
First Address | London, KY 40741-2600 |
Second Address | Gray, KY 40734 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/08/2015 |
Last Update Date | 19/08/2015 |