Benny Bailey
Individual provider Active NPI Psychiatric/Mental Health Registered Nurse · Louisa, KY
NPI 1083176713 · NPPES record last updated Aug 15, 2024
Key facts
- NPI
- 1083176713
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Registered Nurse 163WP0808X
- License
- 1155177 (KY)
- Practice address
- 60 Professional Park Dr
Louisa, KY 41230-9644 - Phone
- (606) 638-4332
- NPI assigned
- Apr 2, 2019
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1155177 | KY | MD | Psychiatric/Mental Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 1155177 | KY | Yes |
| Registered Nurse | 163W00000X | 1155177 | KY |
Addresses
Primary practice location
60 Professional Park Dr
Louisa, KY 41230-9644
Mailing address
PO Box 790
Ashland, KY 41105-0790
Phone (606) 329-8588
Other practice location 1
3701 Landsdowne Dr
Ashland, KY 41102-5422
Phone (606) 324-3005
Other providers in Louisa, KY
- Hannah Rose Arthur
- William Nathaniel Arvin Jr.
- Jordan Allan Asberry
- Christopher Autrey
- Regina Back
- Courtney Dewayne Bailey
- James Bailey
- Judith Marie Bailey
- Brittany Baker
- Meghan Baker
All providers in Louisa, KY · Psychiatric/Mental Health Registered Nurse in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.