Benny Bailey
Registered Nurse, Psych/Mental Health in Louisa, KY. Individual provider (NPI-1).
NPI number1083176713
StatusActive
Last updated in NPPESAug 15, 2024
Details
- NPI
- 1083176713
- Entity type
- Individual (NPI-1)
- Name
- Benny Bailey
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 2, 2019
- Certification date
- Aug 15, 2024
- Last updated
- Aug 15, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WP0808X | Registered Nurse, Psych/Mental Health | 1155177 | KY | Yes |
| 163W00000X | Registered Nurse | 1155177 | KY |
Practice location
60 Professional Park DrLouisa, KY 41230-9644
Phone 606-638-4332
Mailing address
Po Box 790Ashland, KY 41105-0790
Phone 606-329-8588 · Fax 606-329-8195
Other practice locations
3701 Landsdowne Dr
Ashland, KY 41102-5422
Ashland, KY 41102-5422
Phone 606-324-3005 · Fax 606-329-1530
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