Provider Demographics
NPI:1033178777
Name:ASHCRAFT, TROY KENNETH (DO)
Entity Type:Individual
Prefix:DR
First Name:TROY
Middle Name:KENNETH
Last Name:ASHCRAFT
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 635283
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-5283
Mailing Address - Country:US
Mailing Address - Phone:859-823-5441
Mailing Address - Fax:859-823-5001
Practice Address - Street 1:100 BLACKBURN LN
Practice Address - Street 2:
Practice Address - City:DRY RIDGE
Practice Address - State:KY
Practice Address - Zip Code:41035-8806
Practice Address - Country:US
Practice Address - Phone:859-823-5441
Practice Address - Fax:859-823-5001
Is Sole Proprietor?:No
Enumeration Date:2006-03-21
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY02606207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2388198Medicaid
KY64035637Medicaid
KYH35909Medicare UPIN
KY0364916Medicare PIN
KY080171202Medicare PIN