person
Ross Basham
Student in an Organized Health Care Education/Training Program in Bowling Green, Kentucky
NPI 1811631435

Ross Basham is a Student in an Organized Health Care Education/Training Program based in Bowling Green, KY. Ross Basham practices in Bowling Green, KY. The NPI Number for Ross Basham is 1811631435 and holds a License No. (Kentucky).

The current practice location address for Ross Basham is 126 Trails End Ct, Bowling Green, KY and can be reached out via phone at 270-791-4819.

Location: 126 Trails End Ct, Bowling Green, KY, 42103-9071
person
Provider Profile Details
NPI Number
1811631435
Provider Name
Ross Basham
Credential
Provider Entity Type
Individual
Gender
Male
Address
126 Trails End Ct, Bowling Green, KY, 42103-9071
Phone Number
270-791-4819
Fax Number
Provider Enumeration Date
04/21/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1011322706 05 KY
institution
Provider Business Practice Location Address Details
Address
126 Trails End Ct
City
State
Zip
42103-9071
Phone Number
270-791-4819
Fax Number
person
Provider Business Mailing Address Details
Address
126 Trails End Ct
City
State
Zip
42103-9071
Phone Number
270-791-4819
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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