MEDICARE: ASHLEY BEATTY

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	171M00000X	Case Manager/Care Coordinator	1222963	KY

General Provider Information

NPI Number	:	1811826027
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY BEATTY

Provider Business Mailing Address
First Line	:	1065 CRESTWOOD HTS
Second Line	:
City	:	PARIS
State	:	KY
Zip	:	40361-9137
Country	:	US
Telephone Number	:	606-541-4366
Fax Number	:

Provider Business Practice Location Address
First Line	:	2230 MARTIN LUTHER KING JR BLVD
Second Line	:
City	:	PARIS
State	:	KY
Zip	:	40361-1282
Country	:	US
Telephone Number	:	859-435-6375
Fax Number	:	859-267-1418

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

Provider Enumeration Date	:	05/14/2026
Last Update Date	:	05/14/2026

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Directions to “ ASHLEY BEATTY ” Practice Location

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