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Contact Information

KRISTEN R BASS, PA-C
1811 E BERT KOUNS INDUSTRIAL LOOP STE 400
SHREVEPORT, LA71105
 Phone: 318-212-3810
 Fax: 318-212-3815
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for KRISTEN R BASS · (Female)

NPI # 1093015885
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 10/26/2010
Last updated 06/17/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • LA License # PA.200391
  • LA Medicaid 2153587
Hospital affiliation(s)
  • CHRISTUS SCHUMPERT HEALTH SYSTEM - (Acute Care)
    1453 E BERT KOUNS INDUSTRIAL DRIVE
    SHREVEPORT, LA 71105
  • WILLIS KNIGHTON MEDICAL CENTER - (Acute Care)
    2600 GREENWOOD ROAD
    SHREVEPORT, LA 71103
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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