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Dr. Jacqueline Khristen Basham, MD
Obstetrics & Gynecology Physician in Shelbyville, Kentucky
NPI 1396709671

Jacqueline Khristen Basham is a Obstetrics & Gynecology Physician based in Louisville, KY. Jacqueline Khristen Basham practices in Shelbyville, KY and has the professional credentials of MD. The NPI Number for Jacqueline Khristen Basham is 1396709671 and holds a License No. 30475 (Kentucky).

The current practice location address for Jacqueline Khristen Basham is 140 Stonecrest Rd, Shelbyville, KY and can be reached out via phone at 502-633-0094 and via fax at 502-633-0033.

Location: 140 Stonecrest Rd, Shelbyville, KY, 40295-0248
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396709671
Provider Name
Jacqueline Khristen Basham
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
140 Stonecrest Rd, Shelbyville, KY, 40295-0248
Phone Number
502-633-0094
Fax Number
502-633-0033
Provider Enumeration Date
04/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000204606 01 KY ANTHEM
000000204621 01 KY ANTHEM
64304751 05 KY
institution
Provider Business Practice Location Address Details
Address
140 Stonecrest Rd
City
Shelbyville
State
Kentucky
Zip
40065-8142
Phone Number
502-633-0094
Fax Number
502-633-0033
person
Provider Business Mailing Address Details
Address
140 Stonecrest Rd
City
Shelbyville
State
Kentucky
Zip
40065-8142
Phone Number
502-633-0094
Fax Number
502-633-0033
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
30475 (Kentucky)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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