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Cody Baker, TCADC

NPI 1821717505 · on the registry since 2022 · sole proprietor

Practice

Address
807 Pebblebrook Dr
Lebanon, KY 40033
Phone
(502) 260-2806

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
KY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-08-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky