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Tiffany S. Basham
Family Nurse Practitioner in Fort Knox, Kentucky
NPI 1891188702

Tiffany S. Basham is a Family Nurse Practitioner based in Hanford, KY and is specialized in Family. Tiffany S. Basham practices in Fort Knox, KY. The NPI Number for Tiffany S. Basham is 1891188702 and holds a License No. 3011255 (Kentucky).

The current practice location address for Tiffany S. Basham is 200 Brule Street, Fort Knox, KY and can be reached out via phone at 502-626-9681.

Location: 200 Brule Street, Fort Knox, KY, 93230-3500
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891188702
Provider Name
Tiffany S. Basham
Credential
Provider Entity Type
Individual
Gender
Female
Address
200 Brule Street, Fort Knox, KY, 93230-3500
Phone Number
502-626-9681
Fax Number
Provider Enumeration Date
03/17/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
200 Brule Street
City
Fort Knox
State
Kentucky
Zip
40121
Phone Number
502-626-9681
Fax Number
person
Provider Business Mailing Address Details
Address
200 Brule Street
City
Fort Knox
State
Kentucky
Zip
40121
Phone Number
502-626-9681
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
3011255 (Kentucky)
Definition
Definition to come...
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