Healthcare Provider Details

I. General information

NPI: 1356255038
Provider Name (Legal Business Name): ASHLEY ELIZABETH HONERKAMP NDTR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 CHESAPEAKE AVE
FORT THOMAS KY
41075-4080
US

IV. Provider business mailing address

450 CHESAPEAKE AVE
FORT THOMAS KY
41075-4080
US

V. Phone/Fax

Practice location:
  • Phone: 513-488-4872
  • Fax:
Mailing address:
  • Phone: 513-488-4872
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License Number1070255
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: