# KIRSTEN J. FORMAN-BAILEY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1457388274
- **Gender:** F
- **Credential:** D.C.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X008568-1 | NY | Yes |

## Other

- **Enumeration date:** 06/27/2006
- **Last updated:** 09/27/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 02264693 | — | NY |
| 01 | — | 106029AN | PREFERRED CARE | NY |
| 01 | — | 7653252 | AETNA | NY |
| 01 | — | P010008568 | BLUE CROSS | NY |
| 01 | — | RC70008568 | POMCO | NY |