Provider Demographics
NPI:1659672467
Name:BEHR, ASHLEY KAY
Entity Type:Individual
Prefix:MISS
First Name:ASHLEY
Middle Name:KAY
Last Name:BEHR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4527 GEORGETOWN VERONA RD
Mailing Address - Street 2:
Mailing Address - City:LEWISBURG
Mailing Address - State:OH
Mailing Address - Zip Code:45338-9518
Mailing Address - Country:US
Mailing Address - Phone:937-417-1428
Mailing Address - Fax:
Practice Address - Street 1:4527 GEORGETOWN VERONA RD
Practice Address - Street 2:
Practice Address - City:LEWISBURG
Practice Address - State:OH
Practice Address - Zip Code:45338-9518
Practice Address - Country:US
Practice Address - Phone:937-417-1428
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-10
Last Update Date:2010-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH140677164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse