Most Relevant Information
Provider Data
| NPI Number: | 1003655515 |
| Provider Name: | KYANNA RENEE BAILEY |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/23/2024 |
| Last Updated: | 05/23/2024 |
Provider Practice Location
155 PLEASANT ST
HINTON
WV
259512540
Practice Location Phone/Fax
| Phone: | 3043621077 |
| Fax: |
Provider Mailing Location
155 PLEASANT ST
HINTON
WV
259512540
Provider Mailing Phone/Fax
| Phone: | 3043621077 |
| Fax: |