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Contact Information

KELLY N BASCOM
44979 15TH ST WEST
LANCASTER, CA93534
 Phone: 661-264-8235
 Fax: 661-802-4727
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Licensed Vocational Nurse

164X00000X
 

Licensed Practical Nurse

164W00000X
 

Private Vehicle

347C00000X
Indicates primary specialty

NPI Profile & details for KELLY N BASCOM · (Female)

NPI # 1265869937
Status Active
Credentials
Entity Individual
Enumeration date 09/26/2013
Last updated 09/26/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # VM147196
Hospital affiliation(s) Not Available
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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