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Organization
BODY-MIND-SPIRIT PODIATRIC CENTER, PLLC
Active
Organization
BODY-MIND-SPIRIT PODIATRIC CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN KEITH BAILEY D.P.M. (OWNER)
(606) 324-3668
Entity
Organization
Contact information
Practice address
500 14TH ST, ASHLAND, KY 41101-2622
(606) 324-3668
Mailing address
500 14TH ST, ASHLAND, KY 41101-2622
(606) 324-3668
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
00305
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2549086
—
OH
05
—
3810002375
—
WV
05
—
80000540
—
KY
05
—
9001061200
—
KY
Enumeration date
04/25/2008
Last updated
03/06/2020
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