Provider Demographics
NPI:1437806809
Name:ASHLEY, KAILEN LEIGHANN (PHARMD)
Entity Type:Individual
Prefix:
First Name:KAILEN
Middle Name:LEIGHANN
Last Name:ASHLEY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:KAILEN
Other - Middle Name:LEIGHANN
Other - Last Name:COMBS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:429 WHITE OAK TRCE
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40511-7001
Mailing Address - Country:US
Mailing Address - Phone:606-438-2001
Mailing Address - Fax:
Practice Address - Street 1:2250 LEESTOWN RD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40511-1052
Practice Address - Country:US
Practice Address - Phone:859-233-4511
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-07
Last Update Date:2022-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY0214071835P1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1300XPharmacy Service ProvidersPharmacistPsychiatric