Provider Demographics
NPI:1871188805
Name:BARADA, CESAR (DC)
Entity Type:Individual
Prefix:DR
First Name:CESAR
Middle Name:
Last Name:BARADA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3650 BOSTON RD STE 188
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40514-1502
Mailing Address - Country:US
Mailing Address - Phone:859-219-0626
Mailing Address - Fax:
Practice Address - Street 1:3650 BOSTON RD STE 188
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40514-1502
Practice Address - Country:US
Practice Address - Phone:859-219-0626
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-02
Last Update Date:2022-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY267011111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor