Individual
KEVIN BRENT BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7675 MADISON ST NE, FRIDLEY, MN 55432-2753
(763) 785-4500
(763) 785-3314
Mailing address
7675 MADISON ST NE, FRIDLEY, MN 55432-2753
(763) 785-4500
(763) 785-3314
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24747
MN
Other
Enumeration date
11/30/2005
Last updated
07/08/2007
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