Individual
KELVIN T BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
507 TROJAN TRAIL, GLASGOW, KY 42141-2214
(844) 435-0900
(270) 858-4029
Mailing address
PO BOX 1080, BURKESVILLE, KY 42717-1080
(270) 858-6655
(270) 858-4029
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4993
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12022938
CAQH
—
05
—
7100282880
—
KY
Enumeration date
10/05/2007
Last updated
05/12/2023
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