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Contact Information

KENNETH A BAILEY JR, CRNA
3325 TAMIAMI TRAIL
SARASOTA, FL34239
 Phone: 941-552-3480
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for KENNETH A BAILEY JR · (Male)

NPI Number 1689652083
Status Active
Credentials CRNA (Certified Registered Nurse Anesthetist)
Entity Individual
Enumeration date 01/05/2006
Last updated 12/08/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # ARNP1411712
  • FL Medicaid 034773600
Hospital affiliation(s)
  • VENICE REGIONAL MEDICAL CENTER - (Acute Care)
    540 THE RIALTO
    VENICE, FL 34285
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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