Search › Kentucky › 363L00000X
Dallas Basham, NP
NPI 1194758029 · on the registry since 2006
Practice
- Address
- 350 Thomas More Pkwy
Suite 160
Crestview Hills, KY 41017 - Phone
- (513) 221-1100
- Fax
- (513) 569-5297
- Organisation at this address
- Mental Harmony Llc
Bogner & Carr, Inc.
Alliance Primary Care
Lester S Duplechan Md Pllc
Tri State Urologic Services Psc IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 31
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 363LA2100X
363L00000X
163W00000X
363LA2100X
163W00000X - Licence states on file
- OH, KY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-03-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky