Lee Jr., Richard Bailey

Lee Jr., Richard Bailey is an individual health care provider with primary practice located at 200 Clinic Dr , Madisonville KY 42431-1661. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lee Jr., Richard Bailey can be contacted via phone (270) 825-7200.

Contact Information

Primary practice address
200 Clinic Dr Madisonville KY 42431-1661
Fax: (270) 825-6630
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 26014 Kentucky

Profile Details

NPI number 1689635260
LBN Legal business name Lee Jr., Richard Bailey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Apr 6th, 2016 - about 8 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 1689635260 NPPES
Other 000000512579 BS PROVIDER NUMBER
MEDICAID 64260144 BS PROVIDER NUMBER

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