Individual
DR. RICHARD W BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
686 S HIGHWAY 25 W, WILLIAMSBURG, KY 40769-1604
(606) 549-5052
(606) 549-2718
Mailing address
686 S HIGHWAY 25 W, WILLIAMSBURG, KY 40769-1604
(606) 549-5052
(606) 549-2718
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
38418
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000316055
ANTHEM
KY
01
—
030534227
TAX ID
KY
05
—
64079056
—
KY
Enumeration date
06/19/2006
Last updated
08/14/2012
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