Individual
BRADY BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2865 CHANCELLOR DR STE 225, CRESTVIEW HILLS, KY 41017-3915
(859) 341-5400
Mailing address
2865 CHANCELLOR DR STE 225, CRESTVIEW HILLS, KY 41017-3915
(859) 341-5400
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
PA2794
KY
363A00000X
Physician Assistant
Primary
PA2794
KY
Other
Enumeration date
07/24/2021
Last updated
05/24/2023
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