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Individual

CHANDRA A BAILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
225 MEDICAL CENTER DR STE 405, PADUCAH, KY 42003
(270) 441-4750
(270) 441-4770
Mailing address
225 MEDICAL CENTER DR STE 405, PADUCAH, KY 42003-7914
(270) 441-4750
(270) 441-4770

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
15115
TN
367500000X
Certified Registered Nurse Anesthetist
3007476
KY
367500000X
Certified Registered Nurse Anesthetist
RN148099
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q004634
TN
Enumeration date
10/20/2009
Last updated
11/25/2019
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