Individual
KEVIN R BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1900 23RD ST, CUYAHOGA FALLS, OH 44223-1404
(330) 971-7246
(330) 971-7256
Mailing address
1900 23RD ST, CUYAHOGA FALLS, OH 44223-1404
(330) 971-7246
(330) 971-7256
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50001974
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0074247
—
OH
Enumeration date
10/12/2006
Last updated
04/20/2015
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