Individual
KATHY JO BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1650 EDMONTON RD, TOMPKINSVILLE, KY 42167-9403
(270) 487-0791
Mailing address
5161 SULPHUR LICK RD, TOMPKINSVILLE, KY 42167-7070
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
010503
KY
Other
Enumeration date
11/13/2020
Last updated
11/13/2020
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