Andrew D Bailey MD
Internal Medicine, Gastroenterology in Louisville, KY. Organization (NPI-2).
NPI number1104123041
StatusActive
Last updated in NPPESApr 13, 2011
Details
- NPI
- 1104123041
- Entity type
- Organization (NPI-2)
- Legal business name
- Andrew D Bailey MD
- Organization subpart
- No
- Enumeration date
- Feb 11, 2011
- Last updated
- Apr 13, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RG0100X | Internal Medicine, Gastroenterology | 20497 | KY | Yes |
| 364SA2200X | Clinical Nurse Specialist, Adult Health | 3004708 | KY |
Practice location
4001 Kresge WaySuite 130
Louisville, KY 40207-4640
Phone 502-896-8447
Mailing address
4001 Kresge WaySuite 130
Louisville, KY 40207-4640
Phone 502-896-8447
Authorized official
Andrew D Bailey
Owner
5028968447
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