Individual
ALBERT ROBERT BASSETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA CERTIFIED
Contact information
Practice address
7265 NIGHTSTALKER WAY, FORT CAMPBELL, KY 42223-5151
(270) 798-3969
Mailing address
7265 NIGHTSTALKER WAY, FORT CAMPBELL, KY 42223-5151
(270) 798-3969
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1097188
IL
363AM0700X
Medical Physician Assistant
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Other
Enumeration date
11/17/2011
Last updated
01/05/2022
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