Organization
HEALTHCORE FAMILY PRACTICE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA BAKER APRN (APRN/PRESIDENT)
(859) 619-5488
Entity
Organization
Contact information
Practice address
103 BOSTON SQ, GEORGETOWN, KY 40324-9746
(859) 619-5488
(502) 570-9269
Mailing address
107 BROADBILL CT, GEORGETOWN, KY 40324-9294
(859) 619-5488
(502) 570-9269
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100243400
—
KY
Enumeration date
11/14/2019
Last updated
11/14/2019
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