Provider Demographics
NPI:1851394043
Name:BAYS, KEVIN LEE (DC)
Entity Type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:LEE
Last Name:BAYS
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 1:212 VANCE RD
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:MO
Mailing Address - Zip Code:65536-3664
Mailing Address - Country:US
Mailing Address - Phone:417-532-6251
Mailing Address - Fax:417-532-6221
Practice Address - Street 1:212 VANCE RD
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:MO
Practice Address - Zip Code:65536-3664
Practice Address - Country:US
Practice Address - Phone:417-532-6251
Practice Address - Fax:417-532-6221
Is Sole Proprietor?:No
Enumeration Date:2005-05-23
Last Update Date:2012-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO006235111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO256024092Medicare PIN