Healthcare Provider Details

I. General information

NPI: 1215383757
Provider Name (Legal Business Name): ASHLEY PARSELL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2016
Last Update Date: 02/15/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

810 HAMBLEY BLVD
PIKEVILLE KY
41501-9114
US

IV. Provider business mailing address

810 HAMBLEY BLVD
PIKEVILLE KY
41501-9114
US

V. Phone/Fax

Practice location:
  • Phone: 606-218-5354
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PS0010X
TaxonomySports Medicine (Emergency Medicine) Physician
License NumberAT1631
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: