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Individual

MRS. KATHY DAVIS BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BSN/CPNP

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
3000397
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3000397
KENTUCKY BOARD OF NURSING
KY
05
78009495
KY
Enumeration date
11/03/2005
Last updated
06/24/2019
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