Bailey, Kristopher A

Bailey, Kristopher A is an sole proprietor health care provider with primary practice located at 8200 Mile Tree Dr , Fort Smith AR 72903-4373. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Bailey, Kristopher A can be contacted via phone (479) 926-9089.

Contact Information

Primary practice address
8200 Mile Tree Dr Fort Smith AR 72903-4373
Phone: (479) 926-9089
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X C01305 Arkansas
Nursing Service Providers / Registered Nurse 163W00000X R52454 Arkansas

Profile Details

NPI number 1689750473
LBN Legal business name Bailey, Kristopher A
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 27th, 2006
Last updated Jan 12th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689750473 NPPES
Arkansas Other 5A131 BC/BS OF AR
Arkansas MEDICAID 163947001 BC/BS OF AR
Arkansas MEDICAID 200099290A BC/BS OF AR

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