Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 02934 | KY |
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 02934 | KY |
NPI | 1700839073 |
---|---|
Provider Name | Kevin Robert Bayes |
First Address | Paintsville, KY 41240-0435 |
Second Address | Paintsville, KY 41240-1167 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2006 |
Last Update Date | 10/09/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000379366 | BLUE CROSS BLUE SHIELD (01) | KY |
1225293 | CHA HEALTH INS. (01) | |
52597 | BLUE GRASS INSURANCE (01) | |
64110414 | (05) | KY |
I43714 | (02) | KY |