Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 26662 | KY |
NPI | 1013962778 |
---|---|
Provider Name | Nathan W Baker |
First Address | Whitesburg, KY 41858-0040 |
Second Address | Whitesburg, KY 41858-7425 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2006 |
Last Update Date | 27/03/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
64009186 | (05) | KY |
E85342 | (02) |