Bailey, Kim Petra

Bailey, Kim Petra is an individual health care provider with primary practice located at 2813 S Main St , Corona CA 92882-5942. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is her primary health care specialty. Bailey, Kim Petra can be contacted via phone (951) 273-0608.

Contact Information

Primary practice address
2813 S Main St Corona CA 92882-5942
Phone: (951) 273-0608
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1609470202
LBN Legal business name Bailey, Kim Petra
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 24th, 2020
Last updated Jul 15th, 2024 - 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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