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Kelly Bascom
NPI 1265869937 · on the registry since 2013 · sole proprietor
Practice
- Address
- 44979 15th St West
Lancaster, CA 93534 - Phone
- (661) 264-8235
- Fax
- (661) 802-4727
Registry record
- Primary taxonomy
- 164X00000X
164X00000X
- Also registered as
- 164W00000X
347C00000X - Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-09-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California