Individual
MIKAL A BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2603 KENTUCKY AVE., MP2, STE. 403, PADUCAH, KY 42003
(270) 415-4800
Mailing address
2603 KENTUCKY AVE., MP2, STE. 403, PADUCAH, KY 42003
(270) 415-4800
(270) 415-4801
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA773
KY
363AM0700X
Medical Physician Assistant
34998
MT
363AM0700X
Medical Physician Assistant
Primary
PA773
KY
Other
Enumeration date
03/02/2006
Last updated
07/18/2024
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