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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 6 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1740836139 NPPES
South Carolina MEDICAID 1003845777

Popular Providers