Provider Demographics
NPI:1922499052
Name:KUSH, ASHLEY LAURYN (APRN)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:LAURYN
Last Name:KUSH
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1210 N 2ND ST E
Mailing Address - Street 2:
Mailing Address - City:LOUISBURG
Mailing Address - State:KS
Mailing Address - Zip Code:66053-6414
Mailing Address - Country:US
Mailing Address - Phone:913-709-3354
Mailing Address - Fax:
Practice Address - Street 1:1210 N 2ND ST E
Practice Address - Street 2:
Practice Address - City:LOUISBURG
Practice Address - State:KS
Practice Address - Zip Code:66053-6414
Practice Address - Country:US
Practice Address - Phone:913-709-3354
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-11
Last Update Date:2015-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSTMP 150558363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily