MEDICARE: DR. BENNETT ASHER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	13211	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1689639239
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BENNETT ASHER MD

Provider Business Mailing Address
First Line	:	120 PROFESSIONAL AVE
Second Line	:
City	:	WINCHESTER
State	:	KY
Zip	:	40391-1116
Country	:	US
Telephone Number	:	859-744-2485
Fax Number	:	859-744-0062

Provider Business Practice Location Address
First Line	:	120 PROFESSIONAL AVE
Second Line	:
City	:	WINCHESTER
State	:	KY
Zip	:	40391-1116
Country	:	US
Telephone Number	:	859-744-2485
Fax Number	:	859-744-0062

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/18/2006
Last Update Date	:	03/12/2008

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