Individual
BAILEY KLEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 FISHER ST, KEESLER AFB, MS 39534-2508
(228) 376-0425
Mailing address
301 FISHER ST, KEESLER AFB, MS 39534-2508
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
32982
OK
Other
Enumeration date
05/28/2017
Last updated
07/25/2022
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