Baker, Kevin R

Baker, Kevin R is an individual health care provider with primary practice located at 5801 Bremo Rd St Mary'S Hospital, Richmond VA 23226-1907. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Baker, Kevin R can be contacted via phone (804) 288-6258.

Contact Information

Primary practice address
5801 Bremo Rd St Mary'S Hospital Richmond VA 23226-1907
Phone: (804) 288-6258
Fax: (804) 673-1038
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 0024166837 Virginia

Profile Details

NPI number 1114970977
LBN Legal business name Baker, Kevin R
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Mar 11th, 2016 - about 9 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 1114970977 NPPES
Virginia MEDICAID 010354641

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