Individual
DR. BRIAN L BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
85 TOWER CIRCLE, SOMERSET, KY 42503
(606) 772-3376
(606) 677-0335
Mailing address
PO BOX 3535, WEST SOMERSET, KY 42564-3535
(606) 772-3376
(606) 677-0335
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
2007011366
MO
207N00000X
Dermatology Physician
39921
KY
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
39921
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100048400
—
KY
Enumeration date
05/01/2007
Last updated
07/21/2021
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