Individual
KELVIN EUGENE BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
304 W WASHINGTON AVE, RICHLAND, MO 65556-7101
(573) 765-5131
(573) 765-3122
Mailing address
304 W WASHINGTON AVE, RICHLAND, MO 65556-7101
(573) 765-5131
(573) 765-3122
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2001019041
MO
Other
Enumeration date
08/13/2006
Last updated
07/29/2011
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