Robert Lee Baker, C-PED

Individual provider Active NPI Customized Equipment (DME) · Garden City, KS

NPI 1629264189 · NPPES record last updated Oct 22, 2008

Key facts

NPI
1629264189
Entity type
Individual (NPI type 1)
Primary specialty
Customized Equipment (DME) 332BC3200X
Practice address
211 W Kansas Ave
Garden City, KS 67846-5362
Phone
(620) 275-4712
Fax
(620) 260-9668
NPI assigned
Sep 19, 2007
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Yes

Addresses

Primary practice location

211 W Kansas Ave
Garden City, KS 67846-5362

Mailing address

211 W Kansas Ave
Garden City, KS 67846-5362
Phone (620) 275-4712

Other providers in Garden City, KS

All providers in Garden City, KS · Customized Equipment (DME) in Kansas

Sources for this page

Verify at the official NPI Registry.