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NPI Code Detail

MEDICARE: SAMANTHA BAILEY TCM

MEDICARE: SAMANTHA BAILEY TCM
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
1251B00000XCase Management AgencyKY

General Provider Information

NPI Number : 1740064070
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA BAILEY TCM
Provider Business Mailing Address
First Line : 203 N ELM ST
Second Line :
City : HENDERSON
State : KY
Zip : 42420-3132
Country : US
Telephone Number : 270-826-8761
Fax Number :
Provider Business Practice Location Address
First Line : 203 N ELM ST
Second Line :
City : HENDERSON
State : KY
Zip : 42420-3132
Country : US
Telephone Number : 270-826-8761
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2023
Last Update Date : 12/04/2025

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Directions to “ SAMANTHA BAILEY TCM” Practice Location

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