Provider Demographics
NPI:1851955637
Name:ENGLUND, BAILEY ROSE (DO)
Entity Type:Individual
Prefix:
First Name:BAILEY
Middle Name:ROSE
Last Name:ENGLUND
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:BAILEY
Other - Middle Name:ROSE
Other - Last Name:DOANE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4853 NE GLADSTONE AVE
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64119-3435
Mailing Address - Country:US
Mailing Address - Phone:402-617-6696
Mailing Address - Fax:
Practice Address - Street 1:7900 LEES SUMMIT RD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64139-1236
Practice Address - Country:US
Practice Address - Phone:816-404-7600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-26
Last Update Date:2022-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2022018058207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine