National Provider Identifier
Bailey Kem Milillo, RPA-C
Bailey Kem Milillo, RPA-C is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant in Rochester, NY and a listed phone number of (585) 922-4726.
Profile Overview
- NPI
- 1346727336
- Provider Type
- Individual
- Primary Specialty
- Surgical Physician Assistant
- Enumeration Date
- July 23, 2018
- Last Updated
- December 04, 2019
Practice Location
- 1445 Portland Ave Ste 210
- Rochester, NY 14621
Phone: (585) 922-4726
Mailing Address
- 100 Kings Hwy S
- Rochester, NY 14617-5504
Specialties
- Surgical Physician Assistant (363AS0400X)
Full Record
- NPI
- 1346727336
- Entity Type
- Individual
- Last Name
- Milillo
- First Name
- Bailey
- Middle Name
- Kem
- Name Prefix
- Mrs.
- Credential
- RPA-C
- Provider Other Last Name
- Kem
- Provider Other First Name
- Bailey
- Provider Other Middle Name
- Lynn
- Provider Other Name Prefix Text
- Miss
- Provider Other Credential Text
- RPA-C
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 100 Kings Hwy S
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-5504
- Mailing Country
- US
- Mailing Phone
- (585) 922-4726
- Mailing Fax
- (585) 266-5363
- Practice Street Address
- 1445 Portland Ave Ste 210
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621
- Practice Country
- US
- Practice Phone
- (585) 922-4726
- Practice Fax
- (585) 266-5363
- Enumeration Date
- July 23, 2018
- Last Updated
- December 04, 2019
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Surgical Physician Assistant (363AS0400X)