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Individual

DR. BRIAN KEITH BAILEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
500 14TH ST, ASHLAND, KY 41101-2622
(606) 324-3668
(606) 324-0668
Mailing address
500 14TH ST, ASHLAND, KY 41101-2622
(606) 324-3668
(606) 324-0668

Taxonomy

Speciality
Code
Description
License number
State
213EP0504X
Public Medicine Podiatrist
244094
KY
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
00305
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2549086
OH
05
3810002375
WV
05
80000540
KY
05
90010612
KY
Enumeration date
06/09/2005
Last updated
09/23/2024
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