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Individual
MRS. BRENDA JOAN BAKER
Active
Individual
MRS. BRENDA JOAN BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29340
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000050221
BCBS
—
01
—
010401700
FEDERAL BLACK LUNG
—
01
—
163979300
OWCP
—
01
—
2607
CHA
—
01
—
5946030
AETNA
—
05
—
64293400
—
KY
Enumeration date
11/13/2006
Last updated
04/08/2026
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