Provider Demographics
NPI:1568028421
Name:ASHER, KENNETH L (RPH)
Entity Type:Individual
Prefix:
First Name:KENNETH
Middle Name:L
Last Name:ASHER
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:625 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MOUND CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66056-9100
Mailing Address - Country:US
Mailing Address - Phone:913-795-4435
Mailing Address - Fax:
Practice Address - Street 1:625 MAIN ST
Practice Address - Street 2:
Practice Address - City:MOUND CITY
Practice Address - State:KS
Practice Address - Zip Code:66056-9100
Practice Address - Country:US
Practice Address - Phone:913-795-4435
Practice Address - Fax:913-795-4437
Is Sole Proprietor?:No
Enumeration Date:2019-05-16
Last Update Date:2019-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1-08628183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist