Bailey, Kenneth A

Bailey, Kenneth A is an sole proprietor health care provider with primary practice located at 5020 Commerce Dr , Bakersfield CA 93309-0631. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Plastic Surgery. Allopathic & Osteopathic Physicians / Plastic Surgery is his primary health care specialty. Bailey, Kenneth A can be contacted via phone (661) 324-4100.

Contact Information

Primary practice address
5020 Commerce Dr Bakersfield CA 93309-0631
Fax: (661) 324-4600
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 7551 Montana
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 146475 California

Profile Details

NPI number 1326175597
LBN Legal business name Bailey, Kenneth A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 27th, 2007
Last updated Jan 4th, 2017 - about 7 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 1326175597 NPPES
Montana Other 000009881 BLUE CROSS BLUE SHIELD
Montana MEDICAID 152235 BLUE CROSS BLUE SHIELD

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