Healthcare Provider Details

I. General information

NPI: 1831350008
Provider Name (Legal Business Name): ASHLEY KRISTIN ENGLE AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/20/2008
Last Update Date: 08/20/2025
Certification Date: 08/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4501 MACCORKLE AVE SE STE A
CHARLESTON WV
25304-1808
US

IV. Provider business mailing address

4501 MACCORKLE AVE SE STE A
CHARLESTON WV
25304-1808
US

V. Phone/Fax

Practice location:
  • Phone: 304-345-8522
  • Fax: 304-344-5305
Mailing address:
  • Phone: 304-345-8522
  • Fax: 304-344-5305

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberA-0250
License Number StateWV
# 2
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberA-0250
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: