Search › Florida › 363L00000X
Kimberly Basham, APRN
NPI 1790154169 · on the registry since 2015
Practice
- Address
- 8877 Se 165th Mulberry Ln
The Villages, FL 32162 - Phone
- (352) 674-1750
- Fax
- (352) 674-8950
- Organisation at this address
- Centerwell Senior Primary Care Vitality Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 25
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 363LF0000X
- Licence states on file
- IL, FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-08-15
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 Florida