Baldock, Kimberly

Baldock, Kimberly is an sole proprietor health care provider with primary practice located at 1816 Carter Ave , Ashland KY 41101-7643. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Baldock, Kimberly can be contacted via phone (606) 920-9595.

Contact Information

Primary practice address
1816 Carter Ave Ashland KY 41101-7643
Phone: (606) 920-9595
Fax: (606) 920-9605
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 30472 Kentucky

Profile Details

NPI number 1144225657
LBN Legal business name Baldock, Kimberly
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 21st, 2005
Last updated Apr 24th, 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 1144225657 NPPES
Kentucky Other 000000689129 ANTHEM BCBS
Kentucky MEDICAID 0206342 ANTHEM BCBS
Kentucky MEDICAID 64304728 ANTHEM BCBS

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