Individual
BILLY DEAN BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
16622
TN
207RR0500X
Rheumatology Physician
26804
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000049267
BLUE CROSS BLUE SHIELD
KY
01
—
029602
HEALTH ALLIANCE
—
01
—
145768
HEALTHLINK
—
01
—
18D0700362
CLIA
—
Enumeration date
09/14/2005
Last updated
06/07/2018
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