Individual provider · Type 1 NPI

Keith Emory Basham, PHYSICIAN ASSISTANT

Physician Assistant · Albuquerque, NM

NPI number 1124329339 Active

Practice location

7704 2nd St NW Ste A
Albuquerque, NM 87107-6755

Call (505) 873-7400 Map

Mailing address

2001 Centro Familiar Blvd SW
Albuquerque, NM 87105-4592

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X3117 (CO)
Physician Assistant Primary 363A00000XPA2011-0057 (NM)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1124329339

Keith Emory Basham, PHYSICIAN ASSISTANT's National Provider Identifier is 1124329339, issued on Nov 4, 2010. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Albuquerque, NM. The record was last updated on May 16, 2025.