MEDICARE: BAILEY KIGER MS, CCLS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist

General Provider Information

NPI Number	:	1134079940
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BAILEY KIGER MS, CCLS

Provider Business Mailing Address
First Line	:	543 ASHBY DR
Second Line	:
City	:	CHARLESTON
State	:	IL
Zip	:	61920-3214
Country	:	US
Telephone Number	:	217-549-7003
Fax Number	:

Provider Business Practice Location Address
First Line	:	543 ASHBY DR
Second Line	:
City	:	CHARLESTON
State	:	IL
Zip	:	61920-3214
Country	:	US
Telephone Number	:	217-549-7003
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/30/2026
Last Update Date	:	01/30/2026

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