Healthcare Provider Details

I. General information

NPI: 1245971142
Provider Name (Legal Business Name): ASHLEIGH HOPE KOHLEY DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2022
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

142 PARACLETE DR
RAEFORD NC
28376-9280
US

IV. Provider business mailing address

501 UNION ST STE 545
NASHVILLE TN
37219-1876
US

V. Phone/Fax

Practice location:
  • Phone: 910-904-0404
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number2026-05180
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: