Individual
ANNETTE BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
289 IRELAND AVE, IRELAND ARMY COMMUNITY HOSPITAL, FORT KNOX, KY 40121-5111
(502) 624-9007
Mailing address
6902 WALNUT FARM DR, LOUISVILLE, KY 40229-3419
(502) 966-9433
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA002405L
PA
363A00000X
Physician Assistant
Primary
PA826
KY
363A00000X
Physician Assistant
PA9101591
FL
Other
Enumeration date
01/12/2007
Last updated
07/08/2007
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