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Contact Information

BENNY BAILEY
60 PROFESSIONAL PARK DR
LOUISA, KY41230-9644
 Phone: 606-638-4332
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric/Mental Health

163WP0808X
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for BENNY BAILEY · (Male)

NPI # 1083176713
Status Active
Credentials
Entity Individual
Enumeration date 04/02/2019
Last updated 08/15/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • KY License # 1155177
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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