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Individual

KENNETH M. BAILEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
12210 BRUCE B DOWNS BLVD, TAMPA, FL 33612-9211
(865) 985-7186
Mailing address
12210 BRUCE B DOWNS BLVD, TAMPA, FL 33612-9211
(865) 985-7186

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101238049
VA
2085R0202X
Diagnostic Radiology Physician
01060500A
IN
2085R0202X
Diagnostic Radiology Physician
043420
CT
2085R0202X
Diagnostic Radiology Physician
056261
GA
2085R0202X
Diagnostic Radiology Physician
200500649
NC
2085R0202X
Diagnostic Radiology Physician
21414
WV
2085R0202X
Diagnostic Radiology Physician
224194
MA
2085R0202X
Diagnostic Radiology Physician
25MA07974400
NJ
2085R0202X
Diagnostic Radiology Physician
35086092
OH
2085R0202X
Diagnostic Radiology Physician
36113410
IL
2085R0202X
Diagnostic Radiology Physician
39378
KY
2085R0202X
Diagnostic Radiology Physician
MD426019
PA
2085R0202X
Diagnostic Radiology Physician
Primary
ME94058
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
518461891A
GA
Enumeration date
03/27/2006
Last updated
07/08/2008
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