Provider Demographics
NPI:1821598889
Name:ASHER, KRISTIAN
Entity Type:Individual
Prefix:
First Name:KRISTIAN
Middle Name:
Last Name:ASHER
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:PO BOX 273
Mailing Address - Street 2:
Mailing Address - City:LARNED
Mailing Address - State:KS
Mailing Address - Zip Code:67550-0273
Mailing Address - Country:US
Mailing Address - Phone:620-804-6012
Mailing Address - Fax:
Practice Address - Street 1:708 MAIN STREET
Practice Address - Street 2:
Practice Address - City:LACROSSE
Practice Address - State:KS
Practice Address - Zip Code:67548
Practice Address - Country:US
Practice Address - Phone:785-222-9091
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-16
Last Update Date:2018-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1-12229183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist