Individual
DR. ANDREW D. BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4001 KRESGE WAY, SUITE 130, LOUISVILLE, KY 40207-4640
(502) 896-8447
(502) 896-8699
Mailing address
PO BOX 950248, LOUISVILLE, KY 40295-0248
(502) 253-1035
(502) 253-1037
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
20497
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000049386
BCBS
KY
05
—
100019910A
—
IN
01
—
1058803
PASSPORT
KY
01
—
2434025000
PASSPORT ADVANTAGE
KY
05
—
64204977
—
KY
Enumeration date
08/12/2005
Last updated
08/21/2014
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