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Mr. Dirk Kenneth Baskett, PA-C
Medical Physician Assistant in Mountain Home, Idaho
NPI 1841920220

Dirk Kenneth Baskett is a Medical Physician Assistant based in Mountain Home, ID and is specialized in Medical. Dirk Kenneth Baskett practices in Mountain Home, ID and has the professional credentials of PA-C. The NPI Number for Dirk Kenneth Baskett is 1841920220 and holds a License No. PA-2374 (Idaho).

The current practice location address for Dirk Kenneth Baskett is 840 N 4Th E, Mountain Home, ID and can be reached out via phone at 208-587-1850.

Location: 840 N 4Th E, Mountain Home, ID, 83647-2166
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841920220
Provider Name
Dirk Kenneth Baskett
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
840 N 4Th E, Mountain Home, ID, 83647-2166
Phone Number
208-587-1850
Fax Number
Provider Enumeration Date
06/16/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500812528 05 OR
institution
Provider Business Practice Location Address Details
Address
840 N 4Th E
City
Mountain Home
State
Idaho
Zip
83647-2166
Phone Number
208-587-1850
Fax Number
person
Provider Business Mailing Address Details
Address
840 N 4Th E
City
Mountain Home
State
Idaho
Zip
83647-2166
Phone Number
208-587-1850
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA-2374 (Idaho)
Definition
Definition to come...
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