Organization
WM KEVIN BAILEY MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM BAILEY (OWNER)
(865) 689-4500
Entity
Organization
Contact information
Practice address
112 HOTEL RD, KNOXVILLE, TN 37918-3224
(865) 689-4500
Mailing address
112 HOTEL RD, KNOXVILLE, TN 37918-3224
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD0000020443
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3081232
BLUE CROSS BLUE SHIELD
—
Enumeration date
05/24/2011
Last updated
05/25/2011
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