MEDICARE: MISS ASHLEY LYNN KONTRA PHYSICIAN ASSISTANT

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
1	363A00000X	Physician Assistant	2999	NH
2	363AM0700X	Medical Physician Assistant	C50000921	DE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558785154
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS ASHLEY LYNN KONTRA PHYSICIAN ASSISTANT

Provider Business Mailing Address
First Line	:	3521 SILVERSIDE RD STE 2J
Second Line	:	CONCORD PLAZA, QUILLEN BLDG
City	:	WILMINGTON
State	:	DE
Zip	:	19810-4900
Country	:	US
Telephone Number	:	302-543-5454
Fax Number	:	302-327-4200

Provider Business Practice Location Address
First Line	:	3521 SILVERSIDE RD STE 2J
Second Line	:	CONCORD PLAZA, QUILLEN BLDG
City	:	WILMINGTON
State	:	DE
Zip	:	19810-4900
Country	:	US
Telephone Number	:	302-543-5454
Fax Number	:	302-327-4200

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/18/2014
Last Update Date	:	07/01/2025

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