Baird, Kenneth Reese

Baird, Kenneth Reese is an individual health care provider with primary practice located at 1665 W Lakota Dr , St George UT 84770-6649. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Baird, Kenneth Reese can be contacted via phone (888) 434-8880.

Contact Information

Primary practice address
1665 W Lakota Dr St George UT 84770-6649
Phone: (888) 434-8880
Fax: (885) 434-8880
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA0004087 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA2699 Nevada
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 11579540-1206 Utah

Profile Details

NPI number 1194083295
LBN Legal business name Baird, Kenneth Reese
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2012
Last updated Nov 28th, 2022 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1194083295 NPPES
Utah MEDICAID 1194083295

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