Provider Demographics
NPI:1336418466
Name:KAROW, ASHLEY BREANNE (MED, NCC)
Entity Type:Individual
Prefix:MS
First Name:ASHLEY
Middle Name:BREANNE
Last Name:KAROW
Suffix:
Gender:F
Credentials:MED, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3220 PARKWOOD SCHOOL RD
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NC
Mailing Address - Zip Code:28112-0001
Mailing Address - Country:US
Mailing Address - Phone:704-764-2900
Mailing Address - Fax:
Practice Address - Street 1:3220 PARKWOOD SCHOOL RD
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NC
Practice Address - Zip Code:28112-0001
Practice Address - Country:US
Practice Address - Phone:704-764-2900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-19
Last Update Date:2015-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program