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NPI Code Detail

MEDICARE: ASHLEY TRAYLOR CPHT

MEDICARE: ASHLEY TRAYLOR CPHT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183700000XPharmacy TechnicianPT00233322KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PT00233322OTHERKY1628953

General Provider Information

NPI Number : 1457009904
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY TRAYLOR CPHT
Provider Business Mailing Address
First Line : 517 N GREEN ST
Second Line :
City : HENDERSON
State : KY
Zip : 42420-2947
Country : US
Telephone Number : 270-827-1897
Fax Number : 270-827-1809
Provider Business Practice Location Address
First Line : 517 N GREEN ST
Second Line :
City : HENDERSON
State : KY
Zip : 42420-2947
Country : US
Telephone Number : 270-827-1897
Fax Number : 270-827-1809
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2022
Last Update Date : 03/14/2022

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