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Individual

DR. KENNETH WAYNE BASSETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
12605 E 16TH AVE, AURORA, CO 80045-2545
(720) 848-0000
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
(303) 493-7000

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
7800
SD
207P00000X
Emergency Medicine Physician
Primary
DR.0051601
CO

Other

Enumeration date
07/28/2008
Last updated
05/11/2018
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