Baker, Kristy Renea

Baker, Kristy Renea is an individual health care provider with primary practice located at 211 N Illinois St , Weatherford OK 73096-5437. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Baker, Kristy Renea can be contacted via phone (580) 323-1937.

Contact Information

Primary practice address
211 N Illinois St Weatherford OK 73096-5437
Phone: (580) 323-1937
Fax: (580) 323-1156
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X R0057523 Oklahoma

Profile Details

NPI number 1033169933
LBN Legal business name Baker, Kristy Renea
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Jan 15th, 2021 - about 4 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 1033169933 NPPES
Oklahoma MEDICAID 200083240A
Oklahoma MEDICAID 200083240B

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