Healthcare Provider Details

I. General information

NPI: 1912896358
Provider Name (Legal Business Name): MAKAYLA FRANCES BAKER PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2025
Last Update Date: 09/17/2026
Certification Date: 07/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 SOUTH LIMESTONE
LEXINGTON KY
40506-0001
US

IV. Provider business mailing address

8010 PERRYVILLE RD
DANVILLE KY
40422-9713
US

V. Phone/Fax

Practice location:
  • Phone: 859-313-1100
  • Fax:
Mailing address:
  • Phone: 859-583-2163
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number StateKY
# 4
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: