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1043573355
KYLE B BASHAM
FORT SMITH, AR
NPI
1043573355
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208800000X Urology
(Licence: AR E-10368)
Enumeration Date
2012-06-21
Last Update Date
2023-07-13
Business Address
Dr. KYLE B BASHAM MD
5500 ELLSWORTH RD
FORT SMITH, AR 72903-3222
Phone number: 479-709-7295
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Mailing Address
Dr. KYLE B BASHAM MD
11001 EXECUTIVE CENTER DR STE 200
LITTLE ROCK, AR 72211-4393
Phone number: 479-709-7295
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