Keith Samuel Bass, NP-C

NPI #1114440179 in Anna, Illinois

Provider Information

NPI Number
1114440179
Entity Type
Individual
Name
Keith Samuel Bass, NP-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Credential
NP-C
Enumeration Date
Jul 21, 2017
Last Updated
Jan 5, 2024

Practice Location

Address
513 N MAIN ST
City
Anna
ZIP Code
62906-1668
Phone
(618) 833-4471

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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