Individual
EILEEN A BASHFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3422 KARNES BLVD, KANSAS CITY, MO 64111-3629
(816) 807-5542
Mailing address
3422 KARNES BLVD, KANSAS CITY, MO 64111-3629
(816) 807-5542
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
R9G38
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203642301
—
MO
Enumeration date
09/26/2006
Last updated
03/31/2015
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