Provider Demographics
NPI:1144214172
Name:ASHTON, KENNETH A (MD)
Entity Type:Individual
Prefix:
First Name:KENNETH
Middle Name:A
Last Name:ASHTON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:10930 N TATUM BLVD
Mailing Address - Street 2:STE 103
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85028-6069
Mailing Address - Country:US
Mailing Address - Phone:602-263-7600
Mailing Address - Fax:602-212-0365
Practice Address - Street 1:485 S DOBSON RD STE 203
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-5604
Practice Address - Country:US
Practice Address - Phone:480-728-2690
Practice Address - Fax:480-728-2689
Is Sole Proprietor?:No
Enumeration Date:2005-09-06
Last Update Date:2022-05-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ28200208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZH14269Medicare UPIN
AZ61875Medicare ID - Type Unspecified