Baender, Kelli Ingram

Baender, Kelli Ingram is an sole proprietor health care provider with primary practice located at 3379 Peachtree Rd. Ne Suite 500, Atlanta GA 30326-1418. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Procedural Dermatology is her primary health care specialty. Baender, Kelli Ingram can be contacted via phone (404) 355-5484.

Contact Information

Primary practice address
3379 Peachtree Rd. Ne Suite 500 Atlanta GA 30326-1418
Phone: (404) 355-5484
Fax: (404) 355-5787
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 60105 Georgia
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 60105 Georgia

Profile Details

NPI number 1093793416
LBN Legal business name Baender, Kelli Ingram
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 5th, 2006
Last updated Oct 16th, 2014 - about 10 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 1093793416 NPPES
Arizona Other 86080015085259A972 TRIWEST
Arizona Other P00231283 TRIWEST
Arizona MEDICAID 894057 TRIWEST

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