Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DIRK KENNETH BASKETT, PA-C
ActiveMedical Physician Assistant · MOUNTAIN HOME, ID
Registration Details
- NPI Number
- 1841920220
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 16, 2022 (3.8489082463355 yrs)
- Last Updated
- Dec 23, 2022
- License
-
PA-2374 (ID)
Practice Information
- Address
-
840 N 4TH EMOUNTAIN HOME, ID, 836472166Browse ID providers · Browse ZIP 83647
- Phone
- 2085871850
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in MOUNTAIN HOME, ID
| Name | Credential | NPI |
|---|---|---|
| MR. DELMAR WALLACE SMITH | P.A. | 1336110980 |
| KYLE HOLLENBACK | — | 1932574381 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.