Individual
DR. PATRICK DALTON BAUMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3950 KRESGE WAY, #308, LOUISVILLE, KY 40207-4637
(502) 895-8911
(502) 895-8977
Mailing address
PO BOX 9203, BELFAST, ME 04915-9203
(502) 895-9627
(502) 895-8977
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
49487
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100309310
—
KY
Enumeration date
06/11/2013
Last updated
10/11/2016
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