Provider Demographics
NPI:1285263681
Name:LAYNE, ASHTON FARMER (PA-C)
Entity type:Individual
Prefix:MRS
First Name:ASHTON
Middle Name:FARMER
Last Name:LAYNE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MISS
Other - First Name:ASHTON
Other - Middle Name:MCKENZIE
Other - Last Name:FARMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:2721 W PARK DR
Mailing Address - Street 2:
Mailing Address - City:PADUCAH
Mailing Address - State:KY
Mailing Address - Zip Code:42001-9058
Mailing Address - Country:US
Mailing Address - Phone:270-554-7546
Mailing Address - Fax:
Practice Address - Street 1:2721 W PARK DR
Practice Address - Street 2:
Practice Address - City:PADUCAH
Practice Address - State:KY
Practice Address - Zip Code:42001-9058
Practice Address - Country:US
Practice Address - Phone:270-554-7546
Practice Address - Fax:270-554-0316
Is Sole Proprietor?:No
Enumeration Date:2020-04-07
Last Update Date:2022-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYPA2679363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant