Baker, Mallory Camille

Baker, Mallory Camille is an individual health care provider with primary practice located at 550 S Jackson St , Louisville KY 40202-1622. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Baker, Mallory Camille can be contacted via phone (502) 852-4277.

Contact Information

Primary practice address
550 S Jackson St Louisville KY 40202-1622
Phone: (502) 852-4277
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 55808 Tennessee
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 55808 Tennessee

Profile Details

NPI number 1518209089
LBN Legal business name Baker, Mallory Camille
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2013
Last updated May 22nd, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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