Individual provider · NPI-1
Denise Bailey, rrt
Radiologic Technologist, Vascular-Interventional Technology · Kingman, AZ
NPI number1861607533
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1861607533
- Entity type
- Individual (NPI-1)
- Name
- Denise Bailey
- Credential
- rrt
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 14, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2471V0106X | Radiologic Technologist, Vascular-Interventional Technology | crt-8032 | AZ | Yes |
| 2471V0106X | Radiologic Technologist, Vascular-Interventional Technology | rht00089992 | CA | |
| 2471V0106X | Radiologic Technologist, Vascular-Interventional Technology | 106513 | OR |
Practice location
3880 Stockton Hill Rd#103-327
Kingman, AZ 86409-0595
Phone 928-692-6411
Mailing address
3880 Stockton Hill Rd#103-327
Kingman, AZ 86409-0595
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.