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Kelly Bailey

Pediatrics in Spokane, WA. Individual provider (NPI-1).

NPI number1629311477
StatusActive
Last updated in NPPESJun 24, 2021

Details

NPI
1629311477
Entity type
Individual (NPI-1)
Name
Kelly Bailey
Sex
Female
Sole proprietor
No
Enumeration date
Mar 30, 2013
Certification date
Jun 24, 2021
Last updated
Jun 24, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208000000X PediatricsMD.61142499WAYes
207PP0204X Emergency Medicine, Pediatric Emergency Medicine63489WI
207PP0204X Emergency Medicine, Pediatric Emergency MedicineMD61142499WA

Practice location

101 W 8th Ave
Spokane, WA 99204-2307

Phone 509-474-3131

Mailing address

Po Box 383
Spokane, WA 99210-0383

Phone 800-225-0953

Other practice locations

8701 W Watertown Plank Rd
Milwaukee, WI 53226-3548

Phone 414-955-4575

9000 W Wisconsin Ave
Milwaukee, WI 53226-4874

Phone 414-266-2625 · Fax 414-266-2635

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