Jacqueline Khristen Basham in Shelbyville - Obstetrics & Gynecology
Jacqueline Khristen Basham - NPI 1396709671
Jacqueline Khristen Basham is a Obstetrics & Gynecology in Shelbyville, Kentucky. Jacqueline Khristen Basham practices all healthcare services and medical treatments related to Obstetrics & Gynecology. The NPI Number for Jacqueline Khristen Basham is 1396709671. The last update date is 2014-08-21.
Jacqueline Khristen Basham's current location address is 140 Stonecrest Rd, Shelbyville, Kentucky. You can contact this provider via phone number 5026330094 and fax number 5026330033. The mailing address for Jacqueline Khristen Basham is 140 Stonecrest Rd, Shelbyville, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacqueline Khristen Basham |
|---|---|
| Address | 140 Stonecrest Rd, Shelbyville, Kentucky |
| Phone Number | 5026330094 |
| Fax Number | 5026330033 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1396709671 |
|---|---|
| Provider Enumeration Date | 2006-04-14 |
| Last Updated Date | 2014-08-21 |
Provider Mailing Address Detail
| Address | 140 Stonecrest Rd |
|---|---|
| City | Shelbyville |
| State | Kentucky (KY) |
| Post Code | 400658142 |
| Phone Number | 5026330094 |
| Fax Number | 5026330033 |
Provider's Primary Taxonomy Detail
| Speciality | Obstetrics & Gynecology |
|---|---|
| Taxonomy | 207V00000X |
| Licence No | 30475 |
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Definition: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 204606 | KY | ANTHEM | |
| 204621 | KY | ANTHEM | |
| 64304751 | KY | -- |
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What is the unique 10-digit identifier code issued to Jacqueline Khristen Basham by the Centers for Medicare & Medicaid Services?
The Jacqueline Khristen Basham has been assigned the NPI (National Provider Identifier) 1396709671 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Jacqueline Khristen Basham?
The Jacqueline Khristen Basham is physically situated at 140 Stonecrest Rd, in the city of Shelbyville, state of KY, with the postal code 400658142.
What is the Jacqueline Khristen Basham's specialty and taxonomy code?
The Jacqueline Khristen Basham's specialty is Obstetrics & Gynecology, and the corresponding taxonomy code is 207V00000X.
On what date did Jacqueline Khristen Basham receive its 1396709671 assignment from the Centers for Medicare & Medicaid Services?
The Jacqueline Khristen Basham was assigned its 1396709671 on 2006-04-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Jacqueline Khristen Basham's details last updated?
The information pertaining to the Jacqueline Khristen Basham, including its address, specialty, and other details, was most recently updated on 2014-08-21.