Individual
KYLE BAILEY
Active
Individual
KYLE BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
RN.455460
OH
363LA2100X
Acute Care Nurse Practitioner
Primary
APRNCNP0030384
OH
363LA2100X
Acute Care Nurse Practitioner
LE-00039231
OH
Other
Enumeration date
07/22/2021
Last updated
12/07/2021
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