Mrs. Kathy Davis Baker
Nurse Practitioner - Pediatrics
615 7th Ave
Bowling Green
, Kentucky 42101-6921
Mrs. Kathy Davis Baker
Nurse Practitioner - Pediatrics
615 7th Ave
Bowling Green
, Kentucky 42101-6921
(270) 783-3573
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Mrs. Kathy Davis Baker
- Po Box 1177
- Bowling Green, KY
- Zip : 42102-1177
- Phone : (270) 783-3573
Second Address
- Mrs. Kathy Davis Baker
- 615 7th Ave
- Bowling Green, KY
- Zip : 42101-6921
- Phone : (270) 783-3573
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | 3000397 | KY |
National Provider Identifier
| NPI | 1043201445 |
|---|---|
| Provider Name | Mrs. Kathy Davis Baker |
| First Address | Bowling Green, KY 42102-1177 |
| Second Address | Bowling Green, KY 42101-6921 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/11/2005 |
| Last Update Date | 24/06/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 3000397 | KENTUCKY BOARD OF NURSING (01) | KY |
| 78009495 | (05) | KY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.