Individual
BENNY BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
60 PROFESSIONAL PARK DR, LOUISA, KY 41230-9644
(606) 638-4332
Mailing address
PO BOX 790, ASHLAND, KY 41105-0790
(606) 329-8588
(606) 329-8195
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1155177
KY
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
1155177
KY
Other
Enumeration date
04/02/2019
Last updated
08/15/2024
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