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DALLAS BASHAM, NP

NP

Nurse Practitioner

NPI: 1194758029Individual

Specialties, Licenses & Credentials

Nurse Practitioner — Acute Care

Code: 363LA2100X

COA.06624-NP(OH)3003742(KY)

Nurse Practitioner

Code: 363L00000X

COA.06624-NP(OH)3003742(KY)

Registered Nurse

Code: 163W00000X

RN.178465-1(OH)1097793(KY)

Contact & Hours

Address
350 THOMAS MORE PKWY, SUITE 160
CRESTVIEW HILLS, KY 41017

Quick Facts

NPI
1194758029
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
6
Locations
1

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