Individual
BAILI ROSE BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
210 BEVINS LN STE C, GEORGETOWN, KY 40324-6127
(502) 868-0622
(502) 868-9097
Mailing address
210 BEVINS LN STE C, GEORGETOWN, KY 40324-6127
(502) 868-0622
(502) 868-9097
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
TC062
KY
Other
Enumeration date
10/01/2024
Last updated
10/07/2024
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