Baker, Kelly A.

Baker, Kelly A. is an individual health care provider with primary practice located at 872 S Camino Del Pueblo , Bernalillo NM 87004-5927. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Baker, Kelly A. can be contacted via phone (505) 867-2383.

Contact Information

Primary practice address
872 S Camino Del Pueblo Bernalillo NM 87004-5927
Phone: (505) 867-2383
Fax: (505) 867-7293
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X LMFT - 91541 New Mexico

Profile Details

NPI number 1639188311
LBN Legal business name Baker, Kelly A.
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated May 2nd, 2008 - about 17 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 1639188311 NPPES
New Mexico MEDICAID 39908879

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