Individual provider · NPI-1

Kim B Baker, M.D.

Radiology, Diagnostic Radiology · Englewood, CO

NPI number1720064629
StatusActive
Last updated in NPPESApr 7, 2017

Details

NPI
1720064629
Entity type
Individual (NPI-1)
Name
Kim B Baker
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Dec 22, 2005
Last updated
Apr 7, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085R0202X Radiology, Diagnostic Radiology40737COYes
2085R0202X Radiology, Diagnostic Radiology25024NE
2085R0202X Radiology, Diagnostic Radiology04-36604KS
2085R0202X Radiology, Diagnostic RadiologyMD17655HI

Practice location

501 E Hampden Ave
Englewood, CO 80113-2702

Phone 303-761-9190 · Fax 720-874-4462

Mailing address

10700 E Geddes Ave
No 200
Englewood, CO 80112-3800

Phone 303-761-9190 · Fax 720-874-4462

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