Individual
MRS. TERESA RUTH BAKER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
289 IRELAND AVE, IRELAND ARMY COMMUNITY HOSPITAL, FORT KNOX, KY 40121-5111
(502) 624-9309
(502) 624-0241
Mailing address
316 OAKWOOD CIR, VINE GROVE, KY 40175-9441
(270) 352-1942
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 402
KY
Other
Enumeration date
01/13/2006
Last updated
07/08/2007
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