Provider Demographics
NPI:1861199101
Name:KORFF, ASHLEY KRISTIN
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:KRISTIN
Last Name:KORFF
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:609 LAFAYETTE ST
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:MI
Mailing Address - Zip Code:49331-1126
Mailing Address - Country:US
Mailing Address - Phone:616-295-2608
Mailing Address - Fax:
Practice Address - Street 1:609 LAFAYETTE ST
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:MI
Practice Address - Zip Code:49331-1126
Practice Address - Country:US
Practice Address - Phone:616-295-2608
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-07
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI14802374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula