Provider Demographics
NPI:1205827896
Name:ASHBY, DONNA SADLER (CMR,RFM)
Entity Type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:SADLER
Last Name:ASHBY
Suffix:
Gender:F
Credentials:CMR,RFM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1444
Mailing Address - Street 2:
Mailing Address - City:OWENSBORO
Mailing Address - State:KY
Mailing Address - Zip Code:42302-1444
Mailing Address - Country:US
Mailing Address - Phone:270-691-0017
Mailing Address - Fax:270-691-0768
Practice Address - Street 1:1002 E 18TH ST
Practice Address - Street 2:
Practice Address - City:OWENSBORO
Practice Address - State:KY
Practice Address - Zip Code:42303-4733
Practice Address - Country:US
Practice Address - Phone:270-691-0017
Practice Address - Fax:270-691-0768
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-02
Last Update Date:2007-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000206497OtherANTHEM BC/BS
KY90003195Medicaid
KY4067460001Medicare NSC