Individual
KYLIE RENAE BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP
Contact information
Practice address
615 N MICHIGAN ST, EMPLOYEE HEALTH, SOUTH BEND, IN 46601-1033
(800) 635-5516
(574) 647-6788
Mailing address
615 N MICHIGAN ST, EMPLOYEE HEALTH, SOUTH BEND, IN 46601-1033
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71004059A
IN
Other
Enumeration date
09/24/2012
Last updated
09/24/2012
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