NPI Profile for RICHARD D BASHAM in LEITCHFIELD, KY.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner |
| NPI # | 1588921738 |
|
| Status | Active | |
| Credentials | ARNP (Advanced Registered Nurse Practitioner) | |
| Entity | Individual | |
| Enumeration date | 04/12/2012 | |
| Last updated | 04/11/2024 - About 2 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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| Hospital affiliation(s) |
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RICHARD D BASHAM
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