Individual
KATHRYN D. BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4348 ELECTRIC RD, ROANOKE, VA 24018-0720
(540) 769-0976
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
(540) 224-5353
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101272362
VA
2086S0120X
Pediatric Surgery Physician
M9837
TX
Other
Enumeration date
05/15/2007
Last updated
10/30/2024
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