Provider Demographics
NPI:1164227260
Name:DEW, ASHLEY KAYLYNN (PA)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:KAYLYNN
Last Name:DEW
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:319 OKLAHOMA ST
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-3260
Mailing Address - Country:US
Mailing Address - Phone:956-337-8476
Mailing Address - Fax:
Practice Address - Street 1:319 OKLAHOMA ST
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-3260
Practice Address - Country:US
Practice Address - Phone:956-337-8476
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-13
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant