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Individual
KYLE FRANK BAILEY
Active
Individual
KYLE FRANK BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-00982
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010-00982
MEDICAL LICENSE
NC
Enumeration date
12/08/2006
Last updated
05/02/2024
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