NPI 1639319791 · live from the CMS NPI Registry
Kevin Donald Bailey, PA-C
Physician Assistant in Nellis Afb, NV. National Provider Identifier 1639319791, active.
NPI record
| NPI | 1639319791 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 |
| Practice phone | 702-653-2273 |
| Enumerated | March 3, 2009 |
| Last updated | March 14, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | PA-1147 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.