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Individual

KIM B BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
501 E HAMPDEN AVE, ENGLEWOOD, CO 80113-2702
(303) 761-9190
(720) 874-4462
Mailing address
10700 E GEDDES AVE, NO 200, ENGLEWOOD, CO 80112-3800
(303) 761-9190
(720) 874-4462

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
04-36604
KS
2085R0202X
Diagnostic Radiology Physician
25024
NE
2085R0202X
Diagnostic Radiology Physician
Primary
40737
CO
2085R0202X
Diagnostic Radiology Physician
MD17655
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000343772
HMSA ALL PRODUCTS
HI
05
001590411
PA
05
10025709000
NE
05
104686024
MI
05
1720064629
IA
05
1720064629
MT
05
1720064629
NV
05
1720064629
WY
05
200240900A
OK
05
200426720A
KS
01
300132610
RIA RR MCRE
CO
01
300132612
MIC RR MCRE
CO
05
3103277
TX
05
57050791
NM
05
63305704
CO
05
84-059792913
NE
05
920654
AZ
05
MD227CO
AK
01
P00720362
RR MCR NE
NE
05
XPY202416
CA
Enumeration date
12/22/2005
Last updated
04/07/2017
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