Organization
BAILEY ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTOPHER A BAILEY CRNA (OWNER)
(479) 926-9089
Entity
Organization
Contact information
Practice address
8200 MILE TREE DR, FORT SMITH, AR 72903-4373
(479) 926-9089
Mailing address
PO BOX 10911, FORT SMITH, AR 72917-0911
(479) 926-9089
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163947001
—
AR
01
—
5A131
BLUE CROSS/BLUE SHIELD OF AR
AR
Enumeration date
09/25/2008
Last updated
03/10/2017
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