Individual
CHRISTOPHER M BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
400 UNIVERSITY DR, SUITE 101-A, PRESTONSBURG, KY 41653-1080
(606) 886-3831
(606) 886-3440
Mailing address
P.O. BOX 1810, PRESTONSBURG, KY 41653-1080
(606) 886-3831
(606) 886-9980
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02799
KY
207QA0401X
Addiction Medicine (Family Medicine) Physician
02799
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64061336
—
KY
Enumeration date
11/07/2006
Last updated
07/14/2017
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