Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jackson Kyle Bailey

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1467049122

Jackson Kyle Bailey is a Student in an Organized Health Care Education/Training Program in San Antonio, Texas. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

333 N Santa Rosa
San Antonio, TX 78207-3108
Phone: (210) 704-2011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1467049122
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 29, 2020
Last updated in NPPESApril 18, 2023
Certification dateApril 18, 2023
Mailing address4822 Nw Fir Pl, Albany, OR 97321-9114

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