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Individual
KENNETH STARLING BAKER III
Active
Individual
KENNETH STARLING BAKER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGPCNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
1137306
KY
363LG0600X
Gerontology Nurse Practitioner
1137306
KY
363LP2300X
Primary Care Nurse Practitioner
Primary
2020044609
KY
Other
Enumeration date
10/13/2020
Last updated
12/09/2020
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