Basham, Kevin Leo

Basham, Kevin Leo is an individual health care provider with primary practice located at 51 Charles Lindbergh Blvd Ste B , Uniondale NY 11553-3658. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Basham, Kevin Leo can be contacted via phone (516) 794-4646.

Contact Information

Primary practice address
51 Charles Lindbergh Blvd Ste B Uniondale NY 11553-3658
Phone: (516) 794-4646
Fax: (516) 794-2014
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 201500 New York

Profile Details

NPI number 1871706879
LBN Legal business name Basham, Kevin Leo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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