Individual
MRS. KATHRYN SMITH BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1630 N JEFFERSON AVE, SPRINGFIELD, MO 65803-2819
(417) 837-1504
(417) 837-1545
Mailing address
1630 N JEFFERSON AVE, SPRINGFIELD, MO 65803-2819
(417) 837-1504
(417) 837-1545
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2013003462
MO
363LF0000X
Family Nurse Practitioner
Primary
RN182759
GA
Other
Enumeration date
07/27/2006
Last updated
05/15/2013
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