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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1578525663 | NPPES |
Kentucky | MEDICAID | 7100119460 |
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