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NPI Code Detail

MEDICARE: KAREN BENNETT-BAKER ARNP

MEDICARE: KAREN BENNETT-BAKER ARNP
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
1363L00000XNurse Practitioner4762PKY
2363LA2100XAcute Care Nurse Practitioner3004762KY
3363LF0000XFamily Nurse Practitioner3004762KY
4363LP0808XPsychiatric/Mental Health Nurse Practitioner3004762KY

General Provider Information

NPI Number : 1558594838
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN BENNETT-BAKER ARNP
Provider Business Mailing Address
First Line : PO BOX 3044
Second Line :
City : WEST SOMERSET
State : KY
Zip : 42564-3044
Country : US
Telephone Number : 606-687-2038
Fax Number : 606-200-3654
Provider Business Practice Location Address
First Line : 200 BELMONT AVE
Second Line :
City : SOMERSET
State : KY
Zip : 42501-2419
Country : US
Telephone Number : 66-872-0386
Fax Number : 606-200-3654
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/02/2009
Last Update Date : 05/01/2023

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