Organization
KIDS CARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BASHAR M BOUSO M.D, (OWNER)
(812) 539-2142
Entity
Organization
Contact information
Practice address
202 WALNUT ST, LAWRENCEBURG, IN 47025-1840
(812) 539-2142
(812) 539-3920
Mailing address
202 WALNUT ST, LAWRENCEBURG, IN 47025-1840
(812) 539-2142
(812) 539-3920
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
01042855
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100464610
—
IN
Enumeration date
03/27/2007
Last updated
09/17/2018
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