Provider Demographics
NPI:1548380256
Name:ASHCRAFT, JOHN HENRY (DO)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:HENRY
Last Name:ASHCRAFT
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3901 RAINBOW BLVD
Mailing Address - Street 2:MS 2005
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66160-8500
Mailing Address - Country:US
Mailing Address - Phone:913-588-2535
Mailing Address - Fax:913-588-7583
Practice Address - Street 1:3901 RAINBOW BLVD
Practice Address - Street 2:MS 2005
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160-8500
Practice Address - Country:US
Practice Address - Phone:913-588-2535
Practice Address - Fax:913-588-7583
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2014-03-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS94-06059208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery