Organization
RICHARD BAILEY M.D. MEDICAL PRACTICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD BAILEY M.D. (MEDICAL DOCTOR)
(270) 725-8350
Entity
Organization
Contact information
Practice address
975 HOPKINSVILLE RD, RUSSELLVILLE, KY 42276-9774
(270) 725-8350
(270) 725-8891
Mailing address
975 HOPKINSVILLE RD, RUSSELLVILLE, KY 42276-9774
(270) 725-8350
(270) 725-8891
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
38418
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000316055
ANTHEM
KY
05
—
64079056
—
KY
Enumeration date
09/22/2006
Last updated
08/22/2020
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