Provider Demographics
NPI:1720431117
Name:ROBL, ASHLEY J (PA)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:J
Last Name:ROBL
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:J
Other - Last Name:LECKLITER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:400 S SANTE FE AVE
Mailing Address - Street 2:
Mailing Address - City:SALINA
Mailing Address - State:KS
Mailing Address - Zip Code:67401-4144
Mailing Address - Country:US
Mailing Address - Phone:785-452-7163
Mailing Address - Fax:785-452-6873
Practice Address - Street 1:400 S SANTE FE AVE
Practice Address - Street 2:
Practice Address - City:SALINA
Practice Address - State:KS
Practice Address - Zip Code:67401-4144
Practice Address - Country:US
Practice Address - Phone:785-452-7163
Practice Address - Fax:785-452-6873
Is Sole Proprietor?:No
Enumeration Date:2016-07-20
Last Update Date:2017-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant