Individual
KENNETH ALAN BAILOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1918 MECHANICSBURG RD, SPRINGFIELD, OH 45503-3147
(937) 399-6101
(937) 399-6609
Mailing address
1918 MECHANICSBURG RD, SPRINGFIELD, OH 45503-3147
(937) 399-6101
(937) 339-6609
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
27036
OH
Other
Enumeration date
09/19/2018
Last updated
09/19/2018
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