Bailey, Jill Keneda
Bailey, Jill Keneda is an sole proprietor health care provider with primary practice located at 993 Ritter Dr , Beaver WV 25813-9556. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bailey, Jill Keneda can be contacted via phone (304) 254-9330.Contact Information
Primary practice address
993 Ritter Dr
Beaver WV 25813-9556
Phone: (304) 254-9330
Fax: (304) 254-9335
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 57720 | West Virginia |
Profile Details
| NPI number | 1871785261 |
|---|---|
| LBN Legal business name | Bailey, Jill Keneda |
| Credentials | APRN, BC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 9th, 2007 |
| Last updated | Apr 22nd, 2008 - about 16 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871785261 | NPPES |
| West Virginia | MEDICAID | 3810009614 |
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