Organization
KIDS CARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BASHAR M BOUSO M.D. (OWNER)
(812) 539-2142
Entity
Organization
Contact information
Practice address
202 WALNUT ST, LAWRENCEBURG, IN 47025-1840
(812) 539-2142
(812) 539-3920
Mailing address
202 WALNUT ST, LAWRENCEBURG, IN 47025-1840
(812) 539-2142
(812) 539-3920
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
01042855
IN
Other
Enumeration date
12/21/2007
Last updated
12/21/2007
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