Individual
DR. KENNETH A BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5020 COMMERCE DR, BAKERSFIELD, CA 93309-0631
(661) 324-4100
(661) 324-4600
Mailing address
5251 OFFICE PARK DR, STE. 202, BAKERSFIELD, CA 93309-0404
(661) 829-0074
(661) 200-7783
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
7551
MT
208200000X
Plastic Surgery Physician
Primary
146475
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000009881
BLUE CROSS BLUE SHIELD
MT
05
—
152235
—
MT
Enumeration date
02/27/2007
Last updated
01/04/2017
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