Provider Demographics
NPI:1275514200
Name:BAILEY, STEVEN (DC)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:
Last Name:BAILEY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 W CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:KS
Mailing Address - Zip Code:67002-9615
Mailing Address - Country:US
Mailing Address - Phone:316-733-1440
Mailing Address - Fax:316-733-8737
Practice Address - Street 1:311 W CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:ANDOVER
Practice Address - State:KS
Practice Address - Zip Code:67002-9615
Practice Address - Country:US
Practice Address - Phone:316-733-1440
Practice Address - Fax:316-733-8737
Is Sole Proprietor?:No
Enumeration Date:2005-11-08
Last Update Date:2011-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS104404111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS55869OtherBCBS
KS055869Medicare ID - Type Unspecified
KS55869OtherBCBS
KS062421Medicare PIN