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Individual

WILLIAM CLARK BAILEY III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
610 E BRANNON RD, NICHOLASVILLE, KY 40356-6046
(859) 260-5540
(859) 260-5545
Mailing address
4071 TATES CREEK CENTRE DR, SUITE 202, LEXINGTON, KY 40517-3062
(859) 971-4685
(859) 971-4602

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21203
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64212038
KY
Enumeration date
07/06/2006
Last updated
05/28/2013
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