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Contact Information

RUSSELL B BAKER
309 11TH ST
CARROLLTON, KY41008-1435
 Phone: 502-732-3280
 Fax: 502-575-6234
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for RUSSELL B BAKER · (Male)

NPI # 1760043822
Status Active
Credentials
Entity Individual
Enumeration date 06/27/2019
Last updated 09/23/2025 - About 8 months ago
Sole proprietor 1 No
Identifiers
  • KY License # 247793
  • IN Medicaid 300084017
  • KY Medicaid 7100919580
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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