Baker, Kelly S
Baker, Kelly S is an individual health care provider with primary practice located at 8100 Sandpiper Cir Ste 308 , Nottingham MD 21236-4992. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Baker, Kelly S can be contacted via phone (410) 918-0777.Contact Information
Primary practice address
8100 Sandpiper Cir Ste 308
Nottingham MD 21236-4992
Phone: (410) 918-0777
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | C0009203 | Maryland |
Profile Details
| NPI number | 1558074013 |
|---|---|
| LBN Legal business name | Baker, Kelly S |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 29th, 2022 |
| Last updated | Apr 30th, 2024 - about 2 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 | 1558074013 | NPPES |
| Maryland | Other | C0009203 | MARYLAND BOARD OF PHYSICIANS |
| Maryland | MEDICAID | 687074100 | MARYLAND BOARD OF PHYSICIANS |
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