Provider Demographics
NPI:1083258727
Name:CARRICO, ASHLEY SMITH (PA-C)
Entity type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:SMITH
Last Name:CARRICO
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:1111 RING RD
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:KY
Mailing Address - Zip Code:42701-4900
Mailing Address - Country:US
Mailing Address - Phone:270-737-4343
Mailing Address - Fax:270-769-1072
Practice Address - Street 1:1111 RING RD
Practice Address - Street 2:
Practice Address - City:ELIZABETHTOWN
Practice Address - State:KY
Practice Address - Zip Code:42701-4900
Practice Address - Country:US
Practice Address - Phone:270-737-4343
Practice Address - Fax:270-769-1072
Is Sole Proprietor?:No
Enumeration Date:2019-11-06
Last Update Date:2024-11-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KYPA2587363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant