Bailey, Kenneth M.
Bailey, Kenneth M. is an sole proprietor health care provider with primary practice located at 12210 Bruce B Downs Blvd , Tampa FL 33612-9211. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Bailey, Kenneth M. can be contacted via phone (865) 985-7186.Contact Information
Primary practice address
12210 Bruce B Downs Blvd
Tampa FL 33612-9211
Phone: (865) 985-7186
Fax:
Website:
Health care specialties
Profile Details
| NPI number | 1851351472 |
|---|---|
| LBN Legal business name | Bailey, Kenneth M. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 27th, 2006 |
| Last updated | Jul 8th, 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 | 1851351472 | NPPES |
| Georgia | MEDICAID | 518461891A |
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