Provider Information for 1437338308
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KIMBERLY M BAILEY CCS
Sex: Female
NPI: 1437338308
Last Updated: 2023-11-16
Certification Date: 2023-09-21
Certification Date: 2023-09-21
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1437338308 | ||||||||||||
| Enumeration Date | 2007-10-29 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 966 MYRTLE DR ROCK HILL, SC 29730-3658 United States Phone: 704-606-4255 | Fax:704-332-0124 | ||||||||||||
| Primary Practice Address | 145 REMOUNT RD CHARLOTTE, NC 28203-5013 United States Phone: 704-332-9001 | Fax:704-332-0124 | ||||||||||||
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