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Contact Information

MIKAL A BAILEY, PA-C
2603 KENTUCKY AVE.
MP2, STE. 403
PADUCAH, KY42003
 Phone: 270-415-4800
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MIKAL A BAILEY · (Male)

NPI # 1972570596
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 03/02/2006
Last updated 07/18/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • KY License # PA773
  • MT License # 34998
Hospital affiliation(s)
  • WESTERN BAPTIST HOSPITAL - (Acute Care)
    2501 KENTUCKY AVENUE
    PADUCAH, KY 42003
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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