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Individual

MS. DOROTHY R BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN MSN ARNP

Contact information

Practice address
8726 US HWY 42, FLORENCE, KY 41042
(859) 384-2660
(859) 384-5248
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 384-2660
(859) 384-5248

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1058398
KY
163W00000X
Registered Nurse
221135
OH
363L00000X
Nurse Practitioner
Primary
2539P
KY
363LF0000X
Family Nurse Practitioner
APRN.CNP.07753
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2544670
OH
05
78004041
KY
01
P00374145
RAILROAD MEDICARE
KY
Enumeration date
06/09/2006
Last updated
09/07/2018
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