Provider Demographics
NPI:1568145704
Name:CONLEY, BAILEY NICOLE (PHARMD)
Entity Type:Individual
Prefix:
First Name:BAILEY
Middle Name:NICOLE
Last Name:CONLEY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 VAIL DR
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEBURG
Mailing Address - State:KY
Mailing Address - Zip Code:40342-1454
Mailing Address - Country:US
Mailing Address - Phone:859-420-9672
Mailing Address - Fax:
Practice Address - Street 1:1300 ANDERSON CROSSING DR
Practice Address - Street 2:
Practice Address - City:LAWRENCEBURG
Practice Address - State:KY
Practice Address - Zip Code:40342-8022
Practice Address - Country:US
Practice Address - Phone:502-859-1772
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-14
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY023720183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist