Individual
DR. BASIM KAHLEIFEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
118 PATRIOT DRIVE, SUITE 202, BARDSTOWN, KY 40004
(502) 348-8100
(502) 348-8900
Mailing address
118 PATRIOT DRIVE, SUITE 202, BARDSTOWN, KY 40004
(502) 348-8100
(502) 348-8900
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
10224
HI
207V00000X
Obstetrics & Gynecology Physician
2001-49
NM
207V00000X
Obstetrics & Gynecology Physician
Primary
36376
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64033657
—
KY
Enumeration date
08/30/2006
Last updated
01/07/2022
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