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1588921738
RICHARD D BASHAM
LEITCHFIELD, KY
NPI
1588921738
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY 3007397)
Enumeration Date
2012-04-12
Last Update Date
2024-04-11
Business Address
RICHARD D BASHAM ARNP
332 S MAIN ST
LEITCHFIELD, KY 42754-1428
Phone number: 270-971-1388
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Mailing Address
RICHARD D BASHAM ARNP
112 CEDAR RIDGE LN
LEITCHFIELD, KY 42754-8002
Phone number: 270-971-1388
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