NPI 1053088922 · live from the CMS NPI Registry
Audrey Kathryn Bailey
Family Medicine in Grenada, MS. National Provider Identifier 1053088922, active.
NPI record
| NPI | 1053088922 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 40 Lark Dr, Grenada, MS 38901 |
| Practice phone | 166-280-9245 |
| Enumerated | August 27, 2021 |
| Last updated | August 27, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | 904839 (MS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.