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Kimberly Bailey

Physician • Fort Campbell, KY

Active NPI 1104062587 Individual Practitioner Female Practitioner
Practice location in NPPES

650 Joel Dr
Fort Campbell, KY 422235318

Call 2707898400 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

650 Joel Dr

Fort Campbell, KY 422235318

Telephone 2707898400
Fax 2709560756
Organization at the Same NPPES Address or Phone
Ach Blanchfield-Ft Campbell Facility NPI 1417044702

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2009

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Clinic/Center - Primary Care Primary Specialty

NUCC Taxonomy Code: 261QP2300X

License # reported to NPPES TN 149914
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Kentucky Board of Medical Licensure.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Richard Ales

Nurse Anesthetist, Certified Registered

NPI 1215903679
Taylor Allen , PA-C

Physician Assistant

NPI 1184099483

Physician Assistant (Certified)

NPI 1962608703

Doctor of Medicine (M.D.)

Shandra Andry , CNM

Advanced Practice Midwife

NPI 1497184626

Certified Nurse Midwife

Marni Barnes

Physician Assistant

NPI 1114020070
Nicholas Basham , PA

Physician Assistant

NPI 1710301684

Physician Assistant

Career & Practice History

NPI enumerated January 06, 2009.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to November 2026.

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NPI Administrative Meta

NPI Number: 1104062587
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 06, 2009
Last Update: January 06, 2009
Sole Proprietor: Yes

Mailing Address

650 Joel Dr

Fort Campbell, KY 422235318

Phone: 2707898400

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.