location
search-icon
person
Keith Samuel Bass, NP-C
Family Nurse Practitioner in Anna, Illinois
NPI 1114440179

Keith Samuel Bass is a Family Nurse Practitioner based in Anna, IL and is specialized in Family. Keith Samuel Bass practices in Anna, IL and has the professional credentials of NP-C. The NPI Number for Keith Samuel Bass is 1114440179 and holds a License No. 209015848 (Illinois).

The current practice location address for Keith Samuel Bass is 513 N Main St, Anna, IL and can be reached out via phone at 618-833-4471.

Location: 513 N Main St, Anna, IL, 62906-3265
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114440179
Provider Name
Keith Samuel Bass
Credential
NP-C
Provider Entity Type
Individual
Gender
Male
Address
513 N Main St, Anna, IL, 62906-3265
Phone Number
618-833-4471
Fax Number
Provider Enumeration Date
07/21/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
513 N Main St
City
Anna
State
Illinois
Zip
62906-1668
Phone Number
618-833-4471
Fax Number
person
Provider Business Mailing Address Details
Address
513 N Main St
City
Anna
State
Illinois
Zip
62906-1668
Phone Number
618-833-4471
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209015848 (Illinois)
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.