NPI 1174892384

Keith Alan Bailey, RPH

Practitioner Pharmacist Radcliff, KY

Practice location

Address: 635 S Dixie Blvd, Radcliff, KY 40160-1219
Phone: (270) 352-0880
Mailing address: 440 Coleman Rd, Vine Grove, KY 40175-6139

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 011467 (KY)

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Registry record

NPI: 1174892384
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Dec 2011
Record last updated: 16 Dec 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.