SearchKentucky101YM0800X

Stacey Baker

NPI 1871053967 · on the registry since 2019

Practice

Address
1761 Dixdale Ave
Louisville, KY 40210
Phone
(502) 387-7198

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
KY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-08-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky