Individual
DR. RUSSELL BARRE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
309 11TH ST, CARROLLTON, KY 41008-1435
(502) 732-3280
(502) 575-6234
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0328
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
247793
KY
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
247793
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300084017
—
IN
05
—
7100919580
—
KY
Enumeration date
06/27/2019
Last updated
09/23/2025
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