MEDICARE: MS. KATHLEEN PARKER BAILEY M.A., CPC-I

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	101YP2500X	Professional Counselor	CI0043	NV
2	390200000X	Student in an Organized Health Care Education/Training Program	RC00060241	WA

General Provider Information

NPI Number	:	1073772869
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KATHLEEN PARKER BAILEY M.A., CPC-I

Provider Business Mailing Address
First Line	:	3435 W CRAIG RD SUITE A
Second Line	:	ALLIANCE FAMILY SERVICES
City	:	LAS VEGAS
State	:	NV
Zip	:	89032-5115
Country	:	US
Telephone Number	:	702-750-0377
Fax Number	:	702-538-7928

Provider Business Practice Location Address
First Line	:	3435 W CRAIG RD
Second Line	:	SUITE A
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89032-5115
Country	:	US
Telephone Number	:	702-750-0377
Fax Number	:	702-538-7928

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

Provider Enumeration Date	:	06/05/2008
Last Update Date	:	09/20/2011

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