Individual
MR. KENNETH ANDREW BAILEY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3325 TAMIAMI TRAIL, SARASOTA, FL 34239
(941) 552-3480
Mailing address
5849 SOUTH MIAMI ROAD, VENICE, FL 34293
(941) 493-5892
(941) 496-9389
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP1411712
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
034773600
—
FL
Enumeration date
01/05/2006
Last updated
12/08/2011
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