Brian Baker
Nurse Anesthetist, Certified Registered in Edgewood, KY. Individual provider (NPI-1).
NPI number1851802011
StatusActive
Last updated in NPPESJan 2, 2018
Details
- NPI
- 1851802011
- Entity type
- Individual (NPI-1)
- Name
- Brian Baker
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 16, 2017
- Last updated
- Jan 2, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 1144275 | KY | Yes |
| 163W00000X | Registered Nurse | 1144275 | KY |
Practice location
1 Medical Village DrEdgewood, KY 41017-3403
Phone 859-301-2211
Mailing address
512 Calumet CtFort Thomas, KY 41075-4033
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All 105 Certified Registered Nurse Anesthetist providers in Edgewood · All 1,238 providers in Edgewood
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