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NPI Code Detail

MEDICARE: JOHN R BAIRD M D PLLC

MEDICARE: JOHN R BAIRD M D PLLC
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
1208100000XPhysical Medicine & Rehabilitation Physician

General Provider Information

NPI Number : 1346209822
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOHN R BAIRD M D PLLC
Provider Business Mailing Address
First Line : 3012 EASTPOINT PKWY
Second Line :
City : LOUISVILLE
State : KY
Zip : 40223-4185
Country : US
Telephone Number : 502-379-8588
Fax Number : 502-379-8488
Provider Business Practice Location Address
First Line : 3012 EASTPOINT PKWY
Second Line :
City : LOUISVILLE
State : KY
Zip : 40223-4185
Country : US
Telephone Number : 502-379-8588
Fax Number : 502-379-8488
Authorized Official
Title or Position : OWNER
Name : JOHN R BAIRD
Credential : M.D.
Telephone Number : 502-339-6550
Provider Enumeration Date : 03/22/2006
Last Update Date : 08/22/2020

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