Individual provider · NPI-1

Kevin Brent Bailey, MD

Family Medicine · Fridley, MN

NPI number1043294440
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1043294440
Entity type
Individual (NPI-1)
Name
Kevin Brent Bailey
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Nov 30, 2005
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine24747MNYes

Practice location

7675 Madison St Ne
Fridley, MN 55432-2753

Phone 763-785-4500 · Fax 763-785-3314

Mailing address

7675 Madison St Ne
Fridley, MN 55432-2753

Phone 763-785-4500 · Fax 763-785-3314

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