Bailey, Kimberly

Bailey, Kimberly is an individual health care provider with primary practice located at 914 E Broadway 1St Floor, Louisville KY 40204-1037. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Bailey, Kimberly can be contacted via phone (502) 589-8600.

Contact Information

Primary practice address
914 E Broadway 1St Floor Louisville KY 40204-1037
Phone: (502) 589-8600
Fax: (502) 589-8771
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 0802 Kentucky
Behavioral Health & Social Service Providers / Clinical 1041C0700X 3673 Kentucky

Profile Details

NPI number 1881824480
LBN Legal business name Bailey, Kimberly
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2009
Last updated Jul 11th, 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 1881824480 NPPES
Kentucky MEDICAID 7100288950
Kentucky MEDICAID 7100284120

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