KYLE B BASHAM

FORT SMITH, AR
NPI1043573355
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208800000X Urology
(Licence: AR  E-10368)
Enumeration Date2012-06-21
Last Update Date2023-07-13
Business Address
Dr. KYLE B BASHAM MD
5500 ELLSWORTH RD
FORT SMITH, AR 72903-3222
Phone number: 479-709-7295
Mailing Address
Dr. KYLE B BASHAM MD
11001 EXECUTIVE CENTER DR STE 200
LITTLE ROCK, AR 72211-4393
Phone number: 479-709-7295