Provider Demographics
NPI:1104068055
Name:SWISHER, ASHLEY DEE
Entity type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:DEE
Last Name:SWISHER
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:ASHLEY
Other - Middle Name:DEE
Other - Last Name:OPLINGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5632 NW SUNRISE MEADOW CIR
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64064-1262
Mailing Address - Country:US
Mailing Address - Phone:816-223-3903
Mailing Address - Fax:
Practice Address - Street 1:5632 NW SUNRISE MEADOW CIR
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64064-1262
Practice Address - Country:US
Practice Address - Phone:816-223-3903
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-24
Last Update Date:2009-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program