Individual
DR. JARED BAYLESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 AUDUBON PLAZA DR, LOUISVILLE, KY 40217-1318
(502) 634-6767
(502) 634-6775
Mailing address
PO BOX 36218, LOUISVILLE, KY 40233-6218
(502) 634-6767
(502) 634-6775
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01097026A
IN
207P00000X
Emergency Medicine Physician
4301090130
MI
207P00000X
Emergency Medicine Physician
Primary
47080
KY
390200000X
Student in an Organized Health Care Education/Training Program
4301090130
MI
Other
Enumeration date
06/08/2007
Last updated
10/03/2025
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