Individual
KURT A BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC, NP-C
Contact information
Practice address
3510 12TH ST, LEWISTON, ID 83501-5575
(208) 799-3333
(208) 799-3375
Mailing address
3510 12TH ST, LEWISTON, ID 83501-5575
(208) 799-3333
(208) 799-3375
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CH00003346
WA
111N00000X
Chiropractor
Primary
CHIA-810
ID
363LF0000X
Family Nurse Practitioner
NP-1087A
ID
Other
Enumeration date
01/09/2006
Last updated
06/26/2013
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