Individual
DR. KIMBERLY JOY BAILEY-SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
138 HALIFAX ST, WINSLOW, ME 04901
(207) 873-5161
(207) 873-5163
Mailing address
PO BOX 8120, WINSLOW, ME 04901-8120
(207) 873-5161
(207) 873-5163
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
770
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015552
BCBS
—
01
—
350034518
RR M'CARE
—
01
—
B0244
ANTHEM
—
01
—
M66170
HEALTHSURCE
—
01
—
ME0048
HARVARD PILGRIM
—
Enumeration date
08/26/2006
Last updated
11/26/2012
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