HomeNPI Verification
NPI Verification
National Provider Identifier: 1194467688
Kovic Shane Bailey, DO
Individual Provider
Credentials
DO
Primary Specialty
Family Medicine
Code: 207Q00000X
All Specialties (2)
Student in an Organized Health Care Education/Training Program
Code: 390200000X
Family Medicine
Code: 207Q00000X
Practice Address
190 E BANNOCK ST
BOISE, ID 837126241
NPI Enumeration Date
April 13, 2022
NPI Number
1194467688Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.
View on CMS NPPES Registry