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NPI Code Detail

MEDICARE: NATHAN W BAKER MD

MEDICARE: NATHAN W BAKER MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician26662KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013962778
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATHAN W BAKER MD
Provider Business Mailing Address
First Line : PO BOX 40
Second Line :
City : WHITESBURG
State : KY
Zip : 41858-0040
Country : US
Telephone Number : 606-633-4823
Fax Number : 606-633-1874
Provider Business Practice Location Address
First Line : 226 MEDICAL PLAZA LN
Second Line :
City : WHITESBURG
State : KY
Zip : 41858-7425
Country : US
Telephone Number : 606-633-4871
Fax Number : 606-633-0883
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2006
Last Update Date : 03/27/2015

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