Individual
SAMANTHA JANE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
700 W LINCOLN TRAIL BLVD, RADCLIFF, KY 40160-2604
(270) 351-3192
(270) 351-5499
Mailing address
700 W LINCOLN TRAIL BLVD, RADCLIFF, KY 40160-2604
(270) 351-3192
(270) 351-5499
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
1125296
KY
Other
Enumeration date
10/01/2018
Last updated
10/05/2018
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