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Search › Kentucky › 363A00000X

Nicholas Basham, PA

NPI 1710301684 · on the registry since 2014

Practice

Address
650 Joel Dr
Fort Campbell, KY 42223
Phone
(270) 412-5122
Fax
(270) 412-5168
Organisation at this address
Us Army
Nashville Vamc
Department Of Defense
Ach Blanchfield-Ft Campbell
Blanchfiled Army Community Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address
989

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
363AS0400X
Licence states on file
TN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-04-25

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