Basham, Kyle B
Basham, Kyle B is an sole proprietor health care provider with primary practice located at 5500 Ellsworth Rd , Fort Smith AR 72903-3222. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Basham, Kyle B can be contacted via phone (479) 709-7295.Contact Information
Primary practice address
5500 Ellsworth Rd
Fort Smith AR 72903-3222
Phone: (479) 709-7295
Fax: (479) 709-7296
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | E-10368 | Arkansas |
Profile Details
| NPI number | 1043573355 |
|---|---|
| LBN Legal business name | Basham, Kyle B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 21st, 2012 |
| Last updated | Jul 13th, 2023 - about last year |
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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