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Individual

ROBERT LEE BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2300 CHAMBER CENTER DR, SUITE 100, FORT MITCHELL, KY 41017
(859) 341-3114
(859) 578-2156
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 341-3114
(859) 578-2156

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23506
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2387564
OH
05
64235062
KY
Enumeration date
03/23/2006
Last updated
09/07/2018
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