Keith Samuel Bass NP-C

  • NPI 1114440179
According to our database, the NPI number for Keith Samuel Bass NP-C is 1114440179 and activated since 6 years ago. Keith Samuel Bass NP-C is an individual provider who specializes in Family, and the primary practice location is 400 S Broadway, Goreville, IL 62939. You can also contact Keith Samuel Bass NP-C via telephone number is (618) 995-1002. Provider NPI information was last updated on 03/17/2018.

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Overview of Keith Samuel Bass NP-C

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 07/21/2017
  • Last updated: 03/17/2018

Primary Scrop of Practice

  • Taxonomy Code: 363LF0000X
  • Specialty: Family
  • License Number: 209015848
  • License State: IL

Provider Mailing Address

  • Address: 20 Lynwood Ln
    Anna, IL 62906
  • Phone: 217-898-3462
  • Fax:

Provider Practice Location

  • Address: 400 S Broadway
    Goreville, IL 62939
  • Phone: 618-995-1002
  • Fax:

Scope of Practice

  • Taxonomy Code: 363LF0000X
  • Specialty: Family
  • License Number: 209015848
  • License State: IL
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Keith Samuel Bass NP-C?
  • A: The npi number for Keith Samuel Bass NP-C is 1114440179.
  • Q: What are Keith Samuel Bass NP-C's specialties?
  • A: Keith Samuel Bass NP-C's specialties are Family and different specialities.
  • Q: What is the medical license for Keith Samuel Bass NP-C?
  • A: The medical license number for Keith Samuel Bass NP-C is 209015848 and issued in IL in USA.
  • Q: Where is Keith Samuel Bass NP-C practice location?
  • A: Keith Samuel Bass NP-C is practicing at 400 S Broadway, Goreville, IL 62939.
  • Q: How to contact Keith Samuel Bass NP-C?
  • A: You can contact Keith Samuel Bass NP-C via 618-995-1002.