Individual
DR. KELLY IRGENS BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2449 ROSS MILLVILLE RD, SUITE B50, HAMILTON, OH 45013-8951
(513) 737-6068
(513) 737-6681
Mailing address
1 PRESTIGE PL, SUITE 550, MIAMISBURG, OH 45342-3794
(937) 752-2306
(937) 522-7626
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34.009213
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2956654
—
OH
Enumeration date
02/23/2007
Last updated
11/19/2020
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