Individual
ROSS BASHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
401 E CHESTNUT ST UNIT 310, LOUISVILLE, KY 40202-5703
(502) 588-4720
Mailing address
401 E CHESTNUT ST UNIT 310, LOUISVILLE, KY 40202-5703
(502) 588-4720
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011322706
—
KY
Enumeration date
04/21/2022
Last updated
10/06/2025
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