Individual
DR. GREGORY L. BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
613 23RD ST STE 420, ASHLAND, KY 41101-2885
(606) 325-8561
(606) 325-3591
Mailing address
PO BOX 2379, ASHLAND, KY 41105-2379
(606) 408-4000
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
33745
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0100936000
—
WV
05
—
2108918
—
OH
05
—
64373459
—
KY
01
—
P00885633
RR MEDICARE
KY
Enumeration date
10/02/2006
Last updated
11/18/2021
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