Individual
AMY GOODWIN BAIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
6400 DUTCHMANS PKWY STE 345, LOUISVILLE, KY 40205
(502) 587-6010
(502) 587-1314
Mailing address
100 E LIBERTY ST STE 800, LOUISVILLE, KY 40202-1428
(502) 587-6010
(502) 587-1314
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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