Provider Demographics
NPI:1982368791
Name:BAYES, BRITNIE MICHALLE
Entity Type:Individual
Prefix:
First Name:BRITNIE
Middle Name:MICHALLE
Last Name:BAYES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 323
Mailing Address - Street 2:
Mailing Address - City:PRESTONSBURG
Mailing Address - State:KY
Mailing Address - Zip Code:41653-0323
Mailing Address - Country:US
Mailing Address - Phone:606-887-9221
Mailing Address - Fax:833-550-0816
Practice Address - Street 1:3056 KY ROUTE 321
Practice Address - Street 2:
Practice Address - City:PRESTONSBURG
Practice Address - State:KY
Practice Address - Zip Code:41653-9105
Practice Address - Country:US
Practice Address - Phone:606-887-9221
Practice Address - Fax:833-550-0816
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-27
Last Update Date:2021-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist