Individual
KATHLEEN BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
110 LINCOLN ST, RIDGWAY, PA 15853-1939
(814) 776-0250
Mailing address
110 LINCOLN ST, RIDGWAY, PA 15853-1939
(814) 776-0250
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN329791L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000005040086
—
PA
Enumeration date
04/03/2008
Last updated
04/03/2008
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