Individual
MRS. RACHEL FORD BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1250 BARDSTOWN RD STE 8, LOUISVILLE, KY 40204-1333
(502) 456-7074
(502) 452-1491
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6879
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4009431
KY
Other
Enumeration date
09/30/2020
Last updated
12/26/2023
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