Provider Demographics
NPI:1568212181
Name:KARGO, BAILEY RAE (OD)
Entity Type:Individual
Prefix:DR
First Name:BAILEY
Middle Name:RAE
Last Name:KARGO
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6981 BETHESDA CT
Mailing Address - Street 2:
Mailing Address - City:SUMMERFIELD
Mailing Address - State:NC
Mailing Address - Zip Code:27358-9116
Mailing Address - Country:US
Mailing Address - Phone:336-268-1403
Mailing Address - Fax:
Practice Address - Street 1:6981 BETHESDA CT
Practice Address - Street 2:
Practice Address - City:SUMMERFIELD
Practice Address - State:NC
Practice Address - Zip Code:27358-9116
Practice Address - Country:US
Practice Address - Phone:336-268-1403
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-26
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program