Individual
MICHAEL SCOTT BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4915 NORTON HEALTHCARE BLVD STE 202, LOUISVILLE, KY 40241-2861
(502) 891-8300
(502) 394-6525
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2018
KY
363A00000X
Physician Assistant
TC415
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10003290A
LICENSE
IN
05
—
7100383320
—
KY
01
—
PA2018
LICENSE
KY
Enumeration date
09/01/2015
Last updated
07/07/2026
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