Healthcare Provider Details

I. General information

NPI: 1013973528
Provider Name (Legal Business Name): KAREN A BAILEY APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2006
Last Update Date: 02/28/2023
Certification Date: 02/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

305 S 8TH ST STE A
MURRAY KY
42071-2404
US

IV. Provider business mailing address

305 S 8TH ST STE A
MURRAY KY
42071-2404
US

V. Phone/Fax

Practice location:
  • Phone: 270-753-4616
  • Fax: 270-767-3623
Mailing address:
  • Phone: 270-753-4616
  • Fax: 270-767-3623

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number3001028
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: