Individual
STEPHEN NICHOLAS BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
120 PROSPEROUS PL STE 102, LEXINGTON, KY 40509-1866
(859) 264-1815
(859) 264-1820
Mailing address
120 PROSPEROUS PL STE 102, LEXINGTON, KY 40509-1866
(592) 264-1815
(859) 264-1820
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
TC098
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100954480
—
KY
Enumeration date
01/17/2024
Last updated
02/17/2025
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