Doctor Name: | MR. BRANDON JAMES BAILEY |
NPI Number: | 1467886275 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | NURSE PRACTITIONER |
License Number: | 76112 |
Business Practice Address: | 310 E College Dr Colby, KS - 677013716 |
Business Phone Number: | 7854626184 |
Business Fax Number: | 7854601490 |
Mailing Address: | 310 E College Dr, COLBY |
State: | KS |
Postal Code: | 677013716 |
Phone Number: | 7854626184 |
Fax Number: | 7854601490 |
NPI Enumeration Date: | 08/28/2013 |
NPI Last Update Date: | 05/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LC1500X |
License Number: | 76112 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |