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Individual
BENNY BAILEY
Active
Individual
BENNY BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1155177
KY
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
1155177
KY
Other
Enumeration date
04/02/2019
Last updated
08/15/2024
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