Individual
DR. KYLE B BASHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6801 ROGERS AVE STE 202, FORT SMITH, AR 72903-4067
(479) 573-3947
(479) 478-0548
Mailing address
10901 E 48TH ST, TULSA, OK 74146-5830
(918) 749-8765
(918) 392-2155
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
E-10368
AR
Other
Enumeration date
06/21/2012
Last updated
10/14/2025
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