Individual
KEITH ALAN BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
635 S DIXIE BLVD, RADCLIFF, KY 40160-1219
(270) 352-0880
Mailing address
440 COLEMAN RD, VINE GROVE, KY 40175-6139
(270) 828-4446
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
011467
KY
Other
Enumeration date
12/16/2011
Last updated
12/16/2011
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