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Organization
BASTION MEDICAL PRACTICE OF KANSAS PA
Active
Organization
BASTION MEDICAL PRACTICE OF KANSAS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VASANTH KAINKARYAM MD (PRESIDENT)
(786) 220-0003
Entity
Organization
Contact information
Practice address
400 FARMINGTON AVE, FARMINGTON, CT 06032-1913
(650) 610-1617
Mailing address
400 FARMINGTON AVE, FARMINGTON, CT 06032-1913
(650) 610-1617
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
02/07/2024
Last updated
02/07/2024
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