Individual
MISTY MECHELLE BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6540 TODD BRIDGE RD, OWENSBORO, KY 42301-9658
(270) 302-9383
Mailing address
9261 JACK HINTON RD, PHILPOT, KY 42366-9678
(270) 302-9383
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/23/2019
Last updated
09/23/2019
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