Bailes, Tammy L

Bailes, Tammy L is an individual health care provider with primary practice located at 311 E Spruce St , Garden City KS 67846-5614. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bailes, Tammy L can be contacted via phone (620) 275-3700.

Contact Information

Primary practice address
311 E Spruce St Garden City KS 67846-5614
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 44445 Kansas

Profile Details

NPI number 1821247131
LBN Legal business name Bailes, Tammy L
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 10th, 2008
Last updated Mar 7th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821247131 NPPES
Kansas Other 44445 LICENSE

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