Baker, Kimberly Rene

Baker, Kimberly Rene is an individual health care provider with primary practice located at 2603 Kentucky Ave Suite 201, Paducah KY 42003-3814. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Baker, Kimberly Rene can be contacted via phone (270) 443-1220.

Contact Information

Primary practice address
2603 Kentucky Ave Suite 201 Paducah KY 42003-3814
Phone: (270) 443-1220
Fax: (270) 443-0023
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1037862 Kentucky

Profile Details

NPI number 1578525663
LBN Legal business name Baker, Kimberly Rene
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2006
Last updated Dec 9th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578525663 NPPES
Kentucky MEDICAID 7100119460

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