person
Ms. Kathleen Basha, PA-C
Medical Physician Assistant in Dowagiac, Michigan
NPI 1083932685

Kathleen Basha is a Medical Physician Assistant based in Dowagiac, MI and is specialized in Medical. Kathleen Basha practices in Dowagiac, MI and has the professional credentials of PA-C. The NPI Number for Kathleen Basha is 1083932685 and holds a License No. 5601005601 (Michigan).

The current practice location address for Kathleen Basha is 57392 M 51 S, Dowagiac, MI and can be reached out via phone at 269-462-9587 and via fax at 269-462-9589.

Location: 57392 M 51 S, Dowagiac, MI, 49047-9766
person
Provider Profile Details
NPI Number
1083932685
Provider Name
Kathleen Basha
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
57392 M 51 S, Dowagiac, MI, 49047-9766
Phone Number
269-462-9587
Fax Number
269-462-9589
Provider Enumeration Date
05/07/2010
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
74575 05 MI
institution
Provider Business Practice Location Address Details
Address
57392 M 51 S
City
State
Zip
49047-9766
Phone Number
269-462-9587
Fax Number
269-462-9589
person
Provider Business Mailing Address Details
Address
57392 M 51 S
City
State
Zip
49047-9766
Phone Number
269-462-9587
Fax Number
269-462-9589
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
5601005601 (Michigan)
Definition
Definition to come...
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