Cooper Alan Bassham, STUDENT
Cooper Alan Bassham, STUDENT is a Student in an Organized Health Care Education/Training Program in Kansas City, Missouri. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
2705 McGee Trfy Apt 4410Kansas City, MO 64108-3472
Phone: (870) 421-1107
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1922887439 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | STUDENT |
| Sole proprietor | Yes |
| NPI enumerated | September 25, 2023 |
| Last updated in NPPES | September 25, 2023 |
| Certification date | September 25, 2023 |
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