Aleta S Ashlock

Individual provider Active NPI Contractor · Canton, KS

NPI 1497958920 · NPPES record last updated Jul 9, 2007

Key facts

NPI
1497958920
Entity type
Individual (NPI type 1)
Primary specialty
Contractor 171W00000X
Practice address
401 S Second
Canton, KS 67428-0223
Phone
(620) 628-4677
Fax
(620) 628-4461
NPI assigned
Jun 11, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X Yes

Addresses

Primary practice location

401 S Second
Canton, KS 67428-0223

Mailing address

PO Box 223
Canton, KS 67428-0223
Phone (620) 628-4677

Other providers in Canton, KS

All providers in Canton, KS · Contractor in Kansas

Sources for this page

Verify at the official NPI Registry.