Provider Demographics
NPI:1427269042
Name:BAILEY SALARY, CHERYL YVONNE ELIZABETH (MD)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:YVONNE ELIZABETH
Last Name:BAILEY SALARY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:149 GRANT PARK DR
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:KY
Mailing Address - Zip Code:41074-1745
Mailing Address - Country:US
Mailing Address - Phone:937-776-5601
Mailing Address - Fax:
Practice Address - Street 1:149 GRANT PARK DR
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:KY
Practice Address - Zip Code:41074-1745
Practice Address - Country:US
Practice Address - Phone:937-776-5601
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-25
Last Update Date:2022-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY468022084A0401X, 2084P0015X, 2084P0804X, 2084P0800X
OH35.0906792084P0800X
VA01012557262084P0800X
MDD00769162084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Medicine
No2084P0015XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychosomatic Medicine
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100314410Medicaid
KY7100314410Medicaid