Provider Demographics
NPI:1437141595
Name:BASKETT, KATHLEEN T (MD)
Entity Type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:T
Last Name:BASKETT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:2900 12TH AVE N
Mailing Address - Street 2:SUITE 160W
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59101-7506
Mailing Address - Country:US
Mailing Address - Phone:406-248-4580
Mailing Address - Fax:406-248-4584
Practice Address - Street 1:2900 12TH AVE N
Practice Address - Street 2:SUITE 160W
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101
Practice Address - Country:US
Practice Address - Phone:406-248-4580
Practice Address - Fax:406-248-4584
Is Sole Proprietor?:No
Enumeration Date:2005-08-16
Last Update Date:2018-07-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MT6260207QA0505X, 207QB0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QB0002XAllopathic & Osteopathic PhysiciansFamily MedicineObesity Medicine
No207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0000083246Medicare ID - Type Unspecified