Individual
DR. JOHN KEVIN BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1581 DODD DR FL 1, COLUMBUS, OH 43210-1257
(614) 293-2876
(614) 293-3472
Mailing address
MEDICAL CENTER BLVD., WINSTON SALEM, NC 27157-0001
(336) 716-1332
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
35-068643
OH
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
35068643
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0159886
—
OH
01
—
P01603932
RAILROAD MEDICARE
OH
Enumeration date
03/08/2006
Last updated
07/22/2019
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