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NPI Code Detail

MEDICARE: KRISTINA BAKER

MEDICARE: KRISTINA BAKER
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
1235Z00000XSpeech-Language PathologistKY09-31KY

General Provider Information

NPI Number : 1609003979
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTINA BAKER
Provider Business Mailing Address
First Line : 3800 NICHOLASVILLE RD APT 51010
Second Line :
City : LEXINGTON
State : KY
Zip : 40503-6356
Country : US
Telephone Number : 502-593-9759
Fax Number :
Provider Business Practice Location Address
First Line : 436 HOUSTON OAKS DR
Second Line :
City : PARIS
State : KY
Zip : 40361-2704
Country : US
Telephone Number : 606-584-1169
Fax Number : 800-584-1465
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2009
Last Update Date : 06/15/2009

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Practice Location Address:
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Practice Location Address:
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Directions to “ KRISTINA BAKER ” Practice Location

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