Organization
KIMBERLY M. BALDOCK MD PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY BALDOCK MD (CEO)
(606) 920-9595
Entity
Organization
Contact information
Practice address
1816 CARTER AVE, ASHLAND, KY 41101-7643
(606) 920-9595
Mailing address
1816 CARTER AVE, ASHLAND, KY 41101-7643
(606) 920-9595
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
30472
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000689129
ANTHEM BCBS
KY
05
—
64304728
—
KY
01
—
DG6363
RAILROAD MEDICARE
—
Enumeration date
11/26/2007
Last updated
08/30/2011
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