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Contact Information

KEITH D BAILEY, MD
200 N PARK ST
KALAMAZOO, MI49007-3731
 Phone: 269-373-7488
 Fax: 269-373-0123
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
 

Medical Oncology

207RX0202X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for KEITH D BAILEY · (Male)

NPI # 1538136718
Status Active
Credentials MD
Entity Individual
Enumeration date 03/07/2006
Last updated 10/30/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4301041932
  • MI Medicaid 1338976
  • MI Medicaid 1538136718
  • MI Other 11-0390150-1 BCBS
  • MI Other 1447261730 BCBSM - WMCC
  • MI Other 110102734 MEDICARE ID TYPE UNSPECIF
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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