Individual
DR. MICHAEL J BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
216 FOUNTAIN COURT, SUITE 160, LEXINGTON, KY 40509
(859) 543-1024
(859) 543-0141
Mailing address
216 FOUNTAIN COURT, SUITE 160, LEXINGTON, KY 40509
(859) 543-1024
(859) 543-0141
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
40717
KY
2086S0122X
Plastic and Reconstructive Surgery Physician
BP1-0016836
TX
Other
Enumeration date
06/14/2007
Last updated
12/30/2016
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