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Individual
AMY GOODWIN BAIRD
Active
Individual
AMY GOODWIN BAIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3004138
KY
363LA2200X
Adult Health Nurse Practitioner
4138P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100413330
—
KY
01
—
K121191
KY MEDICARE
KY
01
—
P01977554
RR MEDICARE
KY
Enumeration date
10/24/2006
Last updated
01/23/2019
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