Dr KELLY S BAST MD is a male medical professional, specializing in Emergency Medicine. He graduated in 1978 from University Of Iowa College Of Medicine.
CLARKE COUNTY PUBLIC HOSPITAL
800 S FILLMORE ST RMS D112 D115 D117 D118
D119 OFF CLARKE COUNTY CLINICS
OSCEOLA
IA
502131694
Tel: 6413425000
| Npi | 1861452708 |
| Pac Id | 9931118346 |
| Professional Enrollment Id | I20060412000722 |
| Last Name | BAST |
| First Name | KELLY |
| Middle Name | S |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | UNIVERSITY OF IOWA COLLEGE OF MEDICINE |
| Graduation Year | 1978 |
| Primary Specialty | EMERGENCY MEDICINE |
| Secondary Specialty 1 | FAMILY MEDICINE |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | FAMILY MEDICINE |
| Organization Legal Name | CLARKE COUNTY PUBLIC HOSPITAL |
| Group Practice Pac Id | 1951219328 |
| Number Of Group Practice Members | 18 |
| Line 1 Street Address | 800 S FILLMORE ST RMS D112 D115 D117 D118 |
| Line 2 Street Address | D119 OFF CLARKE COUNTY CLINICS |
| Marker Of Address Line 2 Suppression | |
| City | OSCEOLA |
| State | IA |
| Zip Code | 502131694 |
| Phone Number | 6413425000 |
| Hospital Affiliation Ccn 1 | 161348 |
| Hospital Affiliation Lbn 1 | CLARKE COUNTY HOSPITAL |
| Hospital Affiliation Ccn 2 | 161322 |
| Hospital Affiliation Lbn 2 | DALLAS COUNTY HOSPITAL |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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