NPI 1285988808 · live from the CMS NPI Registry
Karen Lynn Bailey, PA-C
Physician Assistant in Charleston, WV. National Provider Identifier 1285988808, active.
NPI record
| NPI | 1285988808 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 4602 Maccorkle Ave Se, 81 Lincoln Panther Way, Charleston, WV 25304 |
| Practice phone | 304-205-7535 |
| Mailing address | 4602 Maccorkle Ave Se, Charleston, WV 25304 |
| Enumerated | November 5, 2012 |
| Last updated | May 21, 2020 |
| Sole proprietor | No |
| Other names | Karen Mantz |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | 742 (WV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.