Bailey, Kristopher A
Bailey, Kristopher A is an sole proprietor health care provider with primary practice located at 8200 Mile Tree Dr , Fort Smith AR 72903-4373. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Bailey, Kristopher A can be contacted via phone (479) 926-9089.Contact Information
Primary practice address
8200 Mile Tree Dr
Fort Smith AR 72903-4373
Phone: (479) 926-9089
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | C01305 | Arkansas |
Nursing Service Providers / Registered Nurse | 163W00000X | R52454 | Arkansas |
Profile Details
NPI number | 1689750473 |
---|---|
LBN Legal business name | Bailey, Kristopher A |
Credentials | Certified Registered Nurse Anesthetist (CRNA) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 27th, 2006 |
Last updated | Jan 12th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1689750473 | NPPES |
Arkansas | Other | 5A131 | BC/BS OF AR |
Arkansas | MEDICAID | 163947001 | BC/BS OF AR |
Arkansas | MEDICAID | 200099290A | BC/BS OF AR |
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