Organization
WEST KENTUCKY RHEUMATOLOGY,PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BILLY DEAN BAILEY M.D. (PRESIDENT/VICE PRESIDENT)
(270) 534-0046
Entity
Organization
Contact information
Practice address
125 AUGUSTA AVE, SUITE A, PADUCAH, KY 42003-5584
(270) 534-0046
(270) 534-0048
Mailing address
125 AUGUSTA AVE, SUITE A, PADUCAH, KY 42003-5584
(270) 534-0046
(270) 534-0048
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
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
—
3145428
BLUE CROSS/SHIELD TN
TN
Enumeration date
10/11/2006
Last updated
04/16/2008
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