NPI 1043573355

Kyle B Basham, MD

Practitioner Urology Physician Fort Smith, AR

Practice location

Address: 6801 Rogers Ave STE 202, Fort Smith, AR 72903-4067
Phone: (479) 573-3947
Fax: (479) 478-0548
Mailing address: 10901 E 48th St, Tulsa, OK 74146-5830

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence E-10368 (AR)

Other Urology providers in Arkansas →

Registry record

NPI: 1043573355
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Jun 2012
Record last updated: 14 Oct 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.