Provider Demographics
NPI:1720735822
Name:BAILEY HOLDINGS LLC
Entity Type:Organization
Organization Name:BAILEY HOLDINGS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:BRANDON
Authorized Official - Middle Name:J
Authorized Official - Last Name:BAILEY
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, CRNA, FNP-C
Authorized Official - Phone:785-806-3419
Mailing Address - Street 1:6720 E SEDONA ST
Mailing Address - Street 2:
Mailing Address - City:DERBY
Mailing Address - State:KS
Mailing Address - Zip Code:67037-9408
Mailing Address - Country:US
Mailing Address - Phone:785-806-3419
Mailing Address - Fax:
Practice Address - Street 1:6720 E SEDONA ST
Practice Address - Street 2:
Practice Address - City:DERBY
Practice Address - State:KS
Practice Address - Zip Code:67037-9408
Practice Address - Country:US
Practice Address - Phone:785-806-3419
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-08
Last Update Date:2022-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty