Bast, Kelly Scott

Bast, Kelly Scott is an individual health care provider with primary practice located at 2901 86Th St , Urbandale IA 50322-4201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bast, Kelly Scott can be contacted via phone (515) 276-3406.

Contact Information

Primary practice address
2901 86Th St Urbandale IA 50322-4201
Phone: (515) 276-3406
Fax: (515) 276-5141
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 21562 Iowa

Profile Details

NPI number 1861452708
LBN Legal business name Bast, Kelly Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1861452708 NPPES
Iowa MEDICAID 0161364

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