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Individual

DR. JONATHON BALDWIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1724 ROCKINGHAM AVE, SUITE 101, BOWLING GREEN, KY 42104-3379
(270) 842-7588
(270) 842-7687
Mailing address
1724 ROCKINGHAM AVE, SUITE 101, BOWLING GREEN, KY 42104-3379
(270) 842-7588
(270) 842-7687

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
22507
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000049457
ANTHEM BLUE CROSS AND BLU
KY
01
0004263343
AETNA
KY
01
030002084
RAILROAD MEDICARE
05
64225071
KY
Enumeration date
08/19/2006
Last updated
01/11/2011
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