Provider Demographics
NPI:1649492927
Name:ASHLEY, CASSANDRA L (MD)
Entity type:Individual
Prefix:DR
First Name:CASSANDRA
Middle Name:L
Last Name:ASHLEY
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:PO BOX 802843
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64180-2843
Mailing Address - Country:US
Mailing Address - Phone:417-730-6430
Mailing Address - Fax:417-269-7567
Practice Address - Street 1:525 BRANSON LANDING BLVD STE 407
Practice Address - Street 2:
Practice Address - City:BRANSON
Practice Address - State:MO
Practice Address - Zip Code:65616-2196
Practice Address - Country:US
Practice Address - Phone:417-335-7020
Practice Address - Fax:417-335-7133
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2024-01-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO2012011115207R00000X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO136650011Medicare PIN