Provider Demographics
NPI:1952030173
Name:BAKER-REDMAN, BILLIE PAMELA (RN)
Entity Type:Individual
Prefix:
First Name:BILLIE
Middle Name:PAMELA
Last Name:BAKER-REDMAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 ENTERPRISE DR
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:KY
Mailing Address - Zip Code:40391-9668
Mailing Address - Country:US
Mailing Address - Phone:859-745-2200
Mailing Address - Fax:
Practice Address - Street 1:1100 ENTERPRISE DR
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:KY
Practice Address - Zip Code:40391-9668
Practice Address - Country:US
Practice Address - Phone:859-745-2200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-06
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1060485163WX0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WX0106XNursing Service ProvidersRegistered NurseOccupational Health