Ross Basham is a student in an organized health care education training program in Bowling Green, KY. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Ross Basham NPI is 1811631435. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
126 TRAILS END CT
BOWLING GREEN, KY
ZIP 42103-071
Phone: (270) 791-4819
The enumeration date for this NPI number is 4/21/2022 and was last updated on 4/21/2022.