Kimball Tyson Bailey, DO
Internal Medicine Physician · Draper, UT
Practice location
11724 S State StDraper, UT 84020-7163
- Phone
- (801) 965-3600
NPI record
- NPI
- 1073176400
- Entity type
- Individual (Type 1)
- Enumeration date
- April 22, 2019
- Last updated
- August 12, 2025
- Certified
- August 12, 2025
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Physician Primary | 207R00000X |
12740511-1204 | UT |
| Student in an Organized Health Care Education/Training Program | 390200000X |
— | — |
Mailing address
2965 W 3500 SWest Valley City, UT 84119-3602
- Phone
- (801) 965-3600
Other practice locations (2)
- 18701 N 67th Ave, Glendale, AZ 85308-7100 · (623) 561-1000
- 11333 S 1000 E Ste 100, Sandy, UT 84094-5421 · (801) 571-4100
About Dr. Bailey
Kimball Tyson Bailey, DO is a healthcare provider registered in the NPI registry with the primary taxonomy Internal Medicine Physician (code 207R00000X). The practice location is 11724 S State St, Draper, UT 84020-7163. The NPI number 1073176400 was assigned on April 22, 2019 and the record was last updated on August 12, 2025.
Dr. Bailey lists a license in the registry: #12740511-1204 (UT) for Internal Medicine Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Kimball Tyson Bailey, DO?
The NPI number is 1073176400.
What is the phone number of Dr. Bailey?
The phone number listed for the practice location is (801) 965-3600.
Where is Dr. Bailey located?
11724 S State St, Draper, UT 84020-7163.
What is the taxonomy code for Dr. Bailey?
The primary taxonomy code is 207R00000X – Internal Medicine Physician; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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