| NPI | 1407875008 |
|---|---|
| Professional Name | R KEITH BAILEY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA2145) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NC 101393) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2017-01-10 |