Provider Demographics
NPI:1043068547
Name:DAVIS, ASHLEY KATHRYN
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:KATHRYN
Last Name:DAVIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1406 HARDING ST
Mailing Address - Street 2:
Mailing Address - City:GREAT BEND
Mailing Address - State:KS
Mailing Address - Zip Code:67530-3312
Mailing Address - Country:US
Mailing Address - Phone:316-429-8678
Mailing Address - Fax:
Practice Address - Street 1:1406 HARDING ST
Practice Address - Street 2:
Practice Address - City:GREAT BEND
Practice Address - State:KS
Practice Address - Zip Code:67530-3312
Practice Address - Country:US
Practice Address - Phone:316-429-8678
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-09
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor