Provider Demographics
NPI:1013973528
Name:BAILEY, KAREN A (APRN)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:A
Last Name:BAILEY
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 S 8TH ST STE A
Mailing Address - Street 2:
Mailing Address - City:MURRAY
Mailing Address - State:KY
Mailing Address - Zip Code:42071-2404
Mailing Address - Country:US
Mailing Address - Phone:270-753-4616
Mailing Address - Fax:270-767-3623
Practice Address - Street 1:305 S 8TH ST STE A
Practice Address - Street 2:
Practice Address - City:MURRAY
Practice Address - State:KY
Practice Address - Zip Code:42071-2404
Practice Address - Country:US
Practice Address - Phone:270-753-4616
Practice Address - Fax:270-767-3623
Is Sole Proprietor?:No
Enumeration Date:2006-04-24
Last Update Date:2023-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3001028363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000213200OtherBLUE CROSS BLUE SHIELD
KY00354001OtherMEDICARE
KY000000213200OtherBLUE CROSS BLUE SHIELD
KYR38242Medicare UPIN