Individual
TIMOTHY BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
551 MAIN ST N, MC KEE, KY 40447-9082
(606) 287-7187
Mailing address
76 COMBS CIR, LONDON, KY 40744-9773
(859) 314-6468
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
021703
KY
Other
Enumeration date
10/12/2020
Last updated
10/13/2020
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