Baker, Kellie Elizabeth
Baker, Kellie Elizabeth is an individual health care provider with primary practice located at 1475 E Liberty St , York SC 29745-6440. She recently has only one registered license in Nursing Service Providers / School, which is considered as her primary health care specialty. Baker, Kellie Elizabeth can be contacted via phone (803) 684-1905.Contact Information
Primary practice address
1475 E Liberty St
York SC 29745-6440
Phone: (803) 684-1905
Fax: (803) 684-1907
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / School | 163WS0200X | 109368 | South Carolina |
Profile Details
| NPI number | 1740836139 |
|---|---|
| LBN Legal business name | Baker, Kellie Elizabeth |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 13th, 2019 |
| Last updated | Aug 13th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740836139 | NPPES |
| South Carolina | MEDICAID | 1003845777 |
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