Doctor Name: | ANDREW BAILEY |
NPI Number: | 1720483548 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 461435333 |
Business Practice Address: | 345 N Riverview St Ste 600 Wichita, KS - 672034200 |
Business Phone Number: | 3166166111 |
Business Fax Number: | 3166166161 |
Mailing Address: | 345 N Riverview St, Ste 600 WICHITA |
State: | KS |
Postal Code: | 672034200 |
Phone Number: | 3166166111 |
Fax Number: | 3166166161 |
NPI Enumeration Date: | 10/23/2014 |
NPI Last Update Date: | 10/23/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 461435333 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |