Individual
BAILEY RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-0350
(414) 955-0094
Mailing address
5300 NALL AVE, ROELAND PARK, KS 66202-1963
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
94-11684
KS
Other
Enumeration date
03/30/2020
Last updated
07/01/2024
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