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1922137850
KELLY ANN BASHAM
ELIZABETHTOWN, KY
NPI
1922137850
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WC0400X Registered Nurse, Case Management
(Licence: KY 1084962)
Enumeration Date
2007-03-05
Last Update Date
2007-07-08
Business Address
Mrs. KELLY ANN BASHAM
108 NEW GLENDALE RD LINCOLN TRAIL DISTRICT HEALTH DEPT
ELIZABETHTOWN, KY 42702-2609
Phone number: 270-769-1601
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Mailing Address
Mrs. KELLY ANN BASHAM
PO BOX 2609
ELIZABETHTOWN, KY 42702-2609
Phone number: 270-769-1601
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