Provider Demographics
NPI:1073943247
Name:BAKER, DONALD G JR (HEARING INST SPECLI)
Entity Type:Individual
Prefix:MR
First Name:DONALD
Middle Name:G
Last Name:BAKER
Suffix:JR
Gender:M
Credentials:HEARING INST SPECLI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1535 KREBS STATION RD
Mailing Address - Street 2:
Mailing Address - City:PADUCAH
Mailing Address - State:KY
Mailing Address - Zip Code:42003-3599
Mailing Address - Country:US
Mailing Address - Phone:606-305-7704
Mailing Address - Fax:270-554-1958
Practice Address - Street 1:130 BRETT CHASE
Practice Address - Street 2:SUITE B
Practice Address - City:PADUCAH
Practice Address - State:KY
Practice Address - Zip Code:42003-5706
Practice Address - Country:US
Practice Address - Phone:270-554-1900
Practice Address - Fax:270-554-1958
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-25
Last Update Date:2021-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY-100946237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist