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Contact Information

KIRK D ASHBURN II, A.R.N.P.
1212 PROFESSIONAL BLVD STE B
EVANSVILLE, IN47714-8002
 Phone: 812-401-9030
 Fax: 812-401-9033
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for KIRK D ASHBURN II · (Male)

NPI # 1790782845
Status Active
Credentials A.R.N.P.
Entity Individual
Enumeration date 07/05/2005
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 71001760A
  • IN Medicaid 200207810
  • IN Other 000000387509 ANTHEM PIN
  • IN Other P00333134 RAILROAD MEDICARE
Hospital affiliation(s)
  • DEACONESS HOSPITAL INC - (Acute Care)
    600 MARY ST
    EVANSVILLE, IN 47747
  • ST MARY'S MEDICAL CENTER OF EVANSVILLE INC - (Acute Care)
    3700 WASHINGTON AVE
    EVANSVILLE, IN 47750
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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