Healthcare Provider Details

I. General information

NPI: 1215398581
Provider Name (Legal Business Name): ASHLYN REHNER PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ASHLYN READ PA

II. Dates (important events)

Enumeration Date: 03/15/2016
Last Update Date: 10/29/2024
Certification Date: 10/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1698 OLD LEBANON RD SUITE 2A
CAMPBELLSVILLE KY
42718-9662
US

IV. Provider business mailing address

1698 OLD LEBANON RD
CAMPBELLSVILLE KY
42718-9662
US

V. Phone/Fax

Practice location:
  • Phone: 270-465-2821
  • Fax:
Mailing address:
  • Phone: 270-465-2821
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA2096
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: