Provider Demographics
NPI:1598459414
Name:BAKER, DAVID ROBERTSON (MS)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:ROBERTSON
Last Name:BAKER
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4030 TATES CREEK RD APT 4412
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40517-3179
Mailing Address - Country:US
Mailing Address - Phone:719-232-9952
Mailing Address - Fax:
Practice Address - Street 1:1700 NICHOLASVILLE RD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-1463
Practice Address - Country:US
Practice Address - Phone:859-260-4419
Practice Address - Fax:859-260-4462
Is Sole Proprietor?:No
Enumeration Date:2023-06-05
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS