Individual
JOSEPH D BAILEY IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2765 CHAPEL PL, SUITE 200, CRESTVIEW HILLS, KY 41017
(859) 578-3400
(859) 957-0055
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 578-3400
(859) 957-0055
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
48156
KY
207R00000X
Internal Medicine Physician
53.019336
OH
208000000X
Pediatrics Physician
48156
KY
208000000X
Pediatrics Physician
53.019336
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100354850
—
KY
Enumeration date
04/11/2011
Last updated
09/07/2018
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