Graves, Tanner Bayless
Graves, Tanner Bayless is an individual health care provider with primary practice located at 1351 Newtown Pike , Lexington KY 40511-1275. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Graves, Tanner Bayless can be contacted via phone (859) 253-1686.Contact Information
Primary practice address
1351 Newtown Pike
Lexington KY 40511-1275
Phone: (859) 253-1686
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X |
Profile Details
| NPI number | 1760901680 |
|---|---|
| LBN Legal business name | Graves, Tanner Bayless |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 12th, 2017 |
| Last updated | Jul 21st, 2022 - about 2 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 | 1760901680 | NPPES |
| Kentucky | MEDICAID | 1790731081 |
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