Bailey, Keith Dale

Bailey, Keith Dale is an individual health care provider with primary practice located at 200 N Park St , Kalamazoo MI 49007-3731. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Bailey, Keith Dale can be contacted via phone (269) 373-7488.

Contact Information

Primary practice address
200 N Park St Kalamazoo MI 49007-3731
Phone: (269) 373-7488
Fax: (269) 373-0123
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 4301041932 Michigan
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 4301041932 Michigan

Profile Details

NPI number 1538136718
LBN Legal business name Bailey, Keith Dale
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated Oct 30th, 2014 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538136718 NPPES
Michigan Other 110102734 MEDICARE ID TYPE UNSPECIF
Michigan Other 11-0390150-1 MEDICARE ID TYPE UNSPECIF
Michigan MEDICAID 1338976 MEDICARE ID TYPE UNSPECIF
Michigan Other 1447261730 MEDICARE ID TYPE UNSPECIF
Michigan MEDICAID 1538136718 MEDICARE ID TYPE UNSPECIF

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