Provider Demographics
NPI:1588831804
Name:BAYES FAMILY PRACTICE PLLC
Entity Type:Organization
Organization Name:BAYES FAMILY PRACTICE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:BAYES
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:606-789-7100
Mailing Address - Street 1:PO BOX 435
Mailing Address - Street 2:
Mailing Address - City:PAINTSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41240-0435
Mailing Address - Country:US
Mailing Address - Phone:606-789-7100
Mailing Address - Fax:606-789-7117
Practice Address - Street 1:404 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:PAINTSVILLE
Practice Address - State:KY
Practice Address - Zip Code:41240-1167
Practice Address - Country:US
Practice Address - Phone:606-789-7100
Practice Address - Fax:606-789-7117
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-15
Last Update Date:2021-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY02934207Q00000X
207Q00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY65944340Medicaid
KY000000379366OtherBLUE CROSS BLUE SHIELD
KY0983701Medicare Oscar/Certification
KYI43714Medicare UPIN
KY9837Medicare PIN