Individual
DR. RICHARD K BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, NP-C
Contact information
Practice address
1326 CLARKSON CLAYTON CTR, ELLISVILLE, MO 63011-2145
(314) 293-4410
(314) 293-4412
Mailing address
1326 CLARKSON CLAYTON CTR, ELLISVILLE, MO 63011-2145
(314) 293-4410
(314) 293-4412
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209013625
IL
363LF0000X
Family Nurse Practitioner
Primary
143182
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
427525902
—
MO
01
—
P00360425
RR MEDICARE
—
Enumeration date
09/29/2005
Last updated
01/17/2023
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