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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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