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Richard D Basham, ARNP
Family Nurse Practitioner in Leitchfield, Kentucky
NPI 1588921738

Richard D Basham is a Family Nurse Practitioner based in Leitchfield, KY and is specialized in Family. Richard D Basham practices in Leitchfield, KY and has the professional credentials of ARNP. The NPI Number for Richard D Basham is 1588921738 and holds a License No. 3007397 (Kentucky).

The current practice location address for Richard D Basham is 332 S Main St, Leitchfield, KY and can be reached out via phone at 270-971-1388 and via fax at 270-297-7066.

Location: 332 S Main St, Leitchfield, KY, 42754-8002
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588921738
Provider Name
Richard D Basham
Credential
ARNP
Provider Entity Type
Individual
Gender
Male
Address
332 S Main St, Leitchfield, KY, 42754-8002
Phone Number
270-971-1388
Fax Number
270-297-7066
Provider Enumeration Date
04/12/2012
Last Update Date
05/18/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
12436388 01 KY CAQH
institution
Provider Business Practice Location Address Details
Address
332 S Main St
City
Leitchfield
State
Kentucky
Zip
42754-1428
Phone Number
270-971-1388
Fax Number
270-297-7066
person
Provider Business Mailing Address Details
Address
332 S Main St
City
Leitchfield
State
Kentucky
Zip
42754-1428
Phone Number
270-971-1388
Fax Number
270-297-7066
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
3007397 (Kentucky)
Definition
Definition to come...
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